Nissen fundoplication

After Nissen fundoplication, babies typically stay in the hospital for a few days for monitoring and pain management. The medical team will closely observe their feeding tolerance, ensure adequate hydration, and manage any discomfort. Pain relief will be provided, often through intravenous medication initially, transitioning to oral pain relievers as tolerated. Parents will be guided on how to care for the incision sites and recognize signs of potential complications. Feeding will usually resume gradually, starting with small amounts of clear liquids and progressing to breast milk or formula as tolerated. It's common for babies to experience some difficulty swallowing or gas bloat syndrome initially, which usually improves over time. Activity will be restricted for a few weeks to allow for proper healing, meaning no strenuous activity or pressure on the abdomen. Regular follow-up appointments with the pediatric surgeon and gastroenterologist will be scheduled to monitor recovery, feeding, and overall growth. Full recovery can take several weeks, during which parents will need to closely follow feeding instructions and monitor for any signs of reflux recurrence or other issues. Most babies experience significant improvement in their reflux symptoms, leading to better feeding, weight gain, and a more comfortable life. Long-term follow-up is important to ensure the continued success of the fundoplication.