{"id":1934,"date":"2024-12-05T14:39:16","date_gmt":"2024-12-05T14:39:16","guid":{"rendered":"https:\/\/drmohamedelbarbary.com\/uncategorized\/treatment-of-gerd-in-infants-caused-by-diaphragmatic-hernia\/"},"modified":"2026-06-15T15:25:32","modified_gmt":"2026-06-15T15:25:32","slug":"gerd-treatment-in-infants","status":"publish","type":"post","link":"https:\/\/drmohamedelbarbary.com\/en\/services\/gerd-treatment-in-infants\/","title":{"rendered":"Treatment of GERD in infants caused by diaphragmatic hernia"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;]GERD in infants <span style=\"font-weight: 400;\">caused by diaphragmatic hernia is a medical condition that sometimes requires surgical intervention, especially if symptoms are severe and have not responded to conventional treatments.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Lately, one of the most prominent, and advanced method that achieved great success rates is Laparoscopic surgery for the treatment of Diaphragmatic hernia and<a href=\"https:\/\/drmohamedelbarbary.com\/%d8%a7%d9%84%d9%85%d9%82%d8%a7%d9%84%d8%a7%d8%aa\/%d8%a7%d8%b1%d8%aa%d8%ac%d8%a7%d8%b9-%d8%a7%d9%84%d9%85%d8%b1%d9%8a%d8%a1-%d8%b9%d9%86%d8%af-%d8%a7%d9%84%d8%a3%d8%b7%d9%81%d8%a7%d9%84\/\" target=\"_blank\" rel=\"noopener\"><strong> Gastroesophageal Reflux Disease (GERD) in infants.<\/strong><\/a> <\/span><\/p>\n<p><span style=\"font-weight: 400;\">In this article, we will discuss the treatment of Gastroesophageal Reflux Disease (GERD) <\/span>in children through <span style=\"font-weight: 400;\">laparoscopic surgery techniques.<\/span><\/p>\n<div class=\"FJ4GPyohqmsx2f\">\n<div class=\"dAWatUoI4_KOxI\" data-testid=\"comment-container\">\n<div class=\"OKlwSQ0FyvrPMg WB8EjxpBAw9olv\">\n<div class=\"Tt9w9y9sSmCNSj _qKWC8hsRYb03d UsFZdUsj8up1NB\">\n<div>\n<div class=\"TTb5N2DgAn9VHs\">\n<div class=\"ak-renderer-wrapper is-full-width css-1jke4yk\">\n<div class=\"css-iaaqm0\">\n<div class=\"ak-renderer-document\">\n<p data-renderer-start-pos=\"1\">[et_pb_section global_module=\"531\"][\/et_pb_section]<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<h2><strong>Reasons for treating GERD in newborns through laparoscopic surgery<\/strong><\/h2>\n<p><strong>Laparoscopic GERD surgery is the optimal choice in cases where:<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Symptoms are unresponsive to traditional treatmements, like a customized nutrition plan or medication.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The child is suffering clear complications, such as recurrent esophagitis, breathing difficulty, or weight loss.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The existence of a large hernia in the diaphragm that heavy reflux of stomach content into the esophagus<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">In such cases, doctors recomment resorting to laparoscopic treatment, which proved its effectiveness in reducing the symptoms and achieving sustainable results for newborns suffering from GERD that is caused by diaphragmatic hernia.<\/span><\/p>\n<p><strong>Learn about: <a href=\"https:\/\/drmohamedelbarbary.com\/%d8%a7%d9%84%d9%85%d9%82%d8%a7%d9%84%d8%a7%d8%aa\/%d8%a7%d8%b1%d8%aa%d8%ac%d8%a7%d8%b9-%d8%a7%d9%84%d9%85%d8%b1%d9%8a%d8%a1-%d9%88%d9%81%d8%aa%d9%82-%d8%a7%d9%84%d8%ad%d8%ac%d8%a7%d8%a8-%d8%a7%d9%84%d8%ad%d8%a7%d8%ac%d8%b2\/\" target=\"_blank\" rel=\"noopener\">The relationship between GERD and Diaphragmatic Hernia in infants.<\/a><\/strong><\/p>\n<h2><strong>How the laparoscope is used in GERD treatment for infants. <\/strong><\/h2>\n<p><strong>Laparoscopic surgery is performed using delicate surgical tools as well as a small camera, which are inserted to the abdominal cavity through small surgical incisions through the following steps:<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Infant anesthesia: <\/b><span style=\"font-weight: 400;\">The surgery is performed under general anesthesia to ensure the infant feels no pain, with anesthesia administered under the supervision of specialists with extensive experience in handling infants.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Inserting the laparoscope and surgical instruments: <\/b><span style=\"font-weight: 400;\">Small incisions are made in the abdomen, typically between 3 to 5 incisions, through which the surgeon inserts the laparoscope and specialized surgical instruments to perform the operation.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Visualizing and repairing the hernia site:<\/b> <span style=\"font-weight: 400;\">The surgeon uses the camera attached to the laparoscope to clearly view the interior of the abdomen, enabling precise identification of the hernia location.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">The surgeon gently pulls the stomach: Gently, the sugeon pulls back the stomach to its normal position below the diaphragm.<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Closing the diaphragmatic opening: <\/b><span style=\"font-weight: 400;\">After repositioning the stomach, the surgeon closes the opening in the diaphragm using surgical sutures, or in some cases a special mesh is used to support the area and ensure the hernia does not recur.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Securing the stomach to prevent reflux: <\/b><span style=\"font-weight: 400;\">The surgeon sometimes performs an additional technique known as &#8220;fundoplication,&#8221; in which part of the stomach is wrapped around the lower esophagus to prevent acid and food from refluxing into the esophagus, thereby reducing reflux symptoms.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">This is regarded as one of the most effective techniques<\/span> in treating GERD in infants and newborns, <span style=\"font-weight: 400;\">and it has great benefits in speeding up the recovery and reducing the potential of complications occurring.<\/span><\/p>\n<h2><strong>Benefits of treating GERD with the laparoscope.<\/strong><\/h2>\n<p><strong>Laparoscopic surgery is considered the optimal choice in treating GERD in infants who are born with Diaphragmatic hernia, since it is distinguished by a number of benefits, including:<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Reduced pain and faster recovery: <\/b><span style=\"font-weight: 400;\">This surgery is considered less painful than traditional open surgery, since the small incisions reduce trauma and accelerate the healing process.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Smaller scars and better cosmetic results:<\/b> <span style=\"font-weight: 400;\">The small incisions in laparoscopic surgery leave less visible scars, resulting in better cosmetic outcomes.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Shorter hospital stay:<\/b> Usually the newborn requires a short stay in the hospital post surgery to supervise his case, and in most cases, they can return home within two to three days after the operation.<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Long-term results: <\/b>Laparoscopic treatment has proven effective in significantly and permanently relieving symptoms, as it reduces the risk of hernia recurrence and GERD symptoms, contributing to an improved quality of life for the child.<\/li>\n<\/ul>\n<p><strong>Read: <a href=\"https:\/\/drmohamedelbarbary.com\/en\/articles\/when-does-acid-reflux-end-babies-2026\/\" target=\"_blank\" rel=\"noopener\">When does GERD in children end?<\/a><\/strong><\/p>\n<h2><strong>Post surgery care<\/strong><\/h2>\n<p><strong>After the laparoscopic surgery is done, the infant requires some at-home care with the following precautionary measures to ensure complete recovery:<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The doctors instructions about the type of food given to the child must be followed closely, it is preferred to feed them smaller portion multiple times, while staying away from foods that are hard to digest.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The child requires close follow up to ensure no unexpected symptoms are showing, like fever, hardship in breathing, because they might indicate additional doctor&#8217;s consultation.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">It is preferred to keep the infant or child in a comfortable position, and to avoid excessive movement that could cause pressure on the stomach area.<\/span><\/li>\n<\/ul>\n<h2><strong>Probability of recovery and success rate<\/strong><\/h2>\n<p>Following the laparoscopic technique in treating GERD in infants who are born with diaphragmatic hernia is considered a high success rate operation; especially when it is supervised by a highly experienced paediatric surgeon<\/p>\n<p><span style=\"font-weight: 400;\">In most cases, acid reflux disappears completely and the symtoms are cured to a high extent after the surgery, and studies show that infants who have undergone laparoscopic treatment of GERD feel a recognizable<\/span><\/p>\n<p><strong>Read more about: <a href=\"https:\/\/drmohamedelbarbary.com\/%d8%a7%d9%84%d9%85%d9%82%d8%a7%d9%84%d8%a7%d8%aa\/%d8%aa%d8%ac%d8%a7%d8%b1%d8%a8%d9%83%d9%85-%d9%85%d8%b9-%d8%a7%d8%b1%d8%aa%d8%ac%d8%a7%d8%b9-%d8%a7%d9%84%d9%85%d8%b1%d9%8a%d8%a1-%d8%b9%d9%86%d8%af-%d8%a7%d9%84%d8%b1%d8%b6%d8%b9-%d8%a3%d9%87%d9%85\/\" target=\"_blank\" rel=\"noopener\">Your experience with GERD in Children<\/a><\/strong><\/p>\n<p><strong>Finally,<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Laparoscopic treatment of GERD in infants and children who are born with diaphragmatic hernia<\/span><\/p>\n<p><span style=\"font-weight: 400;\"> Through close follow up and adequate post surgery care, the parents can help the child in recovering quickly, and returning to their normal life.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For more information about your child&#8217;s case and you can get in touch with <a href=\"https:\/\/drmohamedelbarbary.com\/en\/about-dr-elbarbary\/\">Dr. Mohamed Elbarbary<\/a> through his website, For comprehensive medical consultation to ensure your child&#8217;s health and comfort.<\/span><\/p>\n<div class=\"FJ4GPyohqmsx2f\">\n<div class=\"dAWatUoI4_KOxI\" data-testid=\"comment-container\">\n<div class=\"OKlwSQ0FyvrPMg WB8EjxpBAw9olv\">\n<div class=\"Tt9w9y9sSmCNSj _qKWC8hsRYb03d UsFZdUsj8up1NB\">\n<div>\n<div class=\"TTb5N2DgAn9VHs\">\n<div class=\"ak-renderer-wrapper is-full-width css-1jke4yk\">\n<div class=\"css-iaaqm0\">\n<div class=\"ak-renderer-document\">\n<p data-renderer-start-pos=\"1\">[et_pb_section global_module=\"531\"][\/et_pb_section]<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; theme_builder_area=&#8221;post_content&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221;][et_pb_row _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; type=&#8221;4_4&#8243; theme_builder_area=&#8221;post_content&#8221;][et_pb_accordion _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; theme_builder_area=&#8221;post_content&#8221; hover_enabled=&#8221;0&#8243; sticky_enabled=&#8221;0&#8243;][et_pb_accordion_item _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; theme_builder_area=&#8221;post_content&#8221; title=&#8221;When does GERD in infants require surgical intervention?&#8221; hover_enabled=&#8221;0&#8243; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p style=\"direction: rtl;\">Laparoscopic surgery is recommended when: symptoms do not respond to medications and dietary modifications, or the child suffers from evident complications such as recurrent esophagitis, breathing difficulty, and weight loss, or a large diaphragmatic hernia is present causing severe reflux of stomach contents into the esophagus.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; theme_builder_area=&#8221;post_content&#8221; title=&#8221;\u0643\u064a\u0641 \u064a\u064f\u062c\u0631\u0649 \u0639\u0644\u0627\u062c \u0627\u0631\u062a\u062c\u0627\u0639 \u0627\u0644\u0645\u0631\u064a\u0621 \u0628\u0627\u0644\u0645\u0646\u0638\u0627\u0631\u061f&#8221; hover_enabled=&#8221;0&#8243; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p style=\"direction: rtl;\">3 to 5 small incisions are made in the abdomen to insert the laparoscope and surgical instruments. The surgeon repositions the stomach below the diaphragm, The opening is closed with surgical sutures, and may perform &#8220;fundoplication&#8221; around the lower esophagus to prevent acid reflux.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; theme_builder_area=&#8221;post_content&#8221; title=&#8221;What are the benefits of laparoscopic reflux treatment compared to open surgery?&#8221; hover_enabled=&#8221;0&#8243; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p style=\"direction: rtl;\">Laparoscopic surgery is less painful, leaves smaller scars, requires a shorter hospital stay (two to three days in most cases), and achieves long-term results in reducing reflux and hernia recurrence.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; theme_builder_area=&#8221;post_content&#8221; title=&#8221;\u0645\u0627 \u0645\u062f\u0629 \u0627\u0644\u0625\u0642\u0627\u0645\u0629 \u0641\u064a \u0627\u0644\u0645\u0633\u062a\u0634\u0641\u0649 \u0628\u0639\u062f \u0627\u0644\u0639\u0645\u0644\u064a\u0629\u061f&#8221;]<\/p>\n<p style=\"direction: rtl;\">In most cases, the infant can return home within two to three days after surgery.<\/p>\n<p>[\/et_pb_accordion_item][\/et_pb_accordion][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;]GERD in infants caused by diaphragmatic hernia is a medical condition that sometimes requires surgical intervention, especially if symptoms are severe and have not responded to conventional treatments. Lately, one of the most [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":1933,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[37],"tags":[],"class_list":["post-1934","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-services"],"acf":[],"_links":{"self":[{"href":"https:\/\/drmohamedelbarbary.com\/en\/wp-json\/wp\/v2\/posts\/1934","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drmohamedelbarbary.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drmohamedelbarbary.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drmohamedelbarbary.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/drmohamedelbarbary.com\/en\/wp-json\/wp\/v2\/comments?post=1934"}],"version-history":[{"count":3,"href":"https:\/\/drmohamedelbarbary.com\/en\/wp-json\/wp\/v2\/posts\/1934\/revisions"}],"predecessor-version":[{"id":1949,"href":"https:\/\/drmohamedelbarbary.com\/en\/wp-json\/wp\/v2\/posts\/1934\/revisions\/1949"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drmohamedelbarbary.com\/en\/wp-json\/wp\/v2\/media\/1933"}],"wp:attachment":[{"href":"https:\/\/drmohamedelbarbary.com\/en\/wp-json\/wp\/v2\/media?parent=1934"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drmohamedelbarbary.com\/en\/wp-json\/wp\/v2\/categories?post=1934"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drmohamedelbarbary.com\/en\/wp-json\/wp\/v2\/tags?post=1934"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}