There are
alternatives to the Fundoplication now available.
These have fewer side effects than the fundoplication and are defiantly
less invasive. At the moment these are only available for adults or older
children but will be becoming available for pediatric use in the next 3 to 5
years.
The first is the Stretta Device made by Curon Medical. This is
done by endoscope using radio frequency. Here is a description of the
procedure.
The physician places the catheter through the mouth and into
the valve between the stomach and esophagus. The electrodes are placed into the
tissue and radio frequency energy is delivered to create well-defined areas of
coagulation around the electrodes. Water delivered through ports in the catheter
irrigates the surface mucosa during treatment. The device monitors temperature
readings to assure safety and precise control during treatment. The physician
repeats this sequence along the length of the gastroesophageal junction. Over
the next few weeks, the coagulated tissue reabsorbs and shrinks, increasing
resistance to reflux.
The other option is the EndoCinch made by Bard. I have personally
spoken with representatives of Bard about pediatric use and they are working on
it now but did say it would take some time. Here is a description of the
procedure.
Using an endoscope (a tube that’s inserted in your
mouth and down through your esophagus), your doctor lowers the suturing system
to the site where the esophagus and the stomach meet. Your doctor then places a
series of stitches to create a pleat in the sphincter. This pleat alters the
gate or valve to reduce the backflow of acid from the stomach up through the
esophagus.
Please note: the information provided on
this website is a combination of research and experience of parents. Please
discuss any concerns with your doctor. The goal of this page is not to push or
dissuade anyone in regard to the Fundo, but only to paint a broader picture.
