Follow us On YouTube Follow us On FaceBook



or
Search Language
Browse
Medical Animations
Medical Animation Titles
Custom Legal Animations
Patient Health Articles
Most Recent Uploads
Body Systems/Regions
Anatomy & Physiology
Diseases & Conditions
Diagnostics & Surgery
Cells & Tissues
Cardiovascular System
Digestive System
Integumentary System
Nervous System
Reproductive System
Respiratory System
Back and Spine
Foot and Ankle
Head and Neck
Hip
Knee
Shoulder
Thorax
Medical Specialties
Cancer
Cardiology
Dentistry
Editorial
Neurology/Neurosurgery
Ob/Gyn
Orthopedics
Pediatrics
Account
Administrator Login

Pediatric Fundoplication - Medical Animation

 

This animation may only be used in support of a single legal proceeding and for no other purpose. Read our License Agreement for details. To license this image for other purposes, click here.

Ready to License?

Item #ANH13096 — Source #1

Order by phone: (800) 338-5954

Pediatric Fundoplication - Medical Animation
MEDICAL ANIMATION TRANSCRIPT: Gastroesophageal reflux disease (GERD) in children is a condition in which liquid flows backward, or refluxes, out of the stomach and into the esophagus. The esophagus is a muscular tube that connects the mouth to the stomach. It passes through a muscle called the diaphragm, which separates the chest from the abdomen. The passageway through the diaphragm is a hole called the esophageal hiatus. The wall of the esophagus has slightly thickened muscle layers where it connects to the stomach. These muscle layers, combined with part of the diaphragm, form the lower esophageal sphincter. Normally when a child swallows food, the lower esophageal sphincter relaxes, allowing the food to pass through it. Then the lower esophageal sphincter contracts to prevent food from refluxing out of the stomach into the esophagus. Sometimes the lower esophageal sphincter may relax even when the child hasn't swallowed, allowing food already in the stomach to move back into the esophagus. This condition is called gastroesophageal reflux, and may have no symptoms or only mild heartburn. However if the reflux is severe, happens often, and causes more serious symptoms, the child has a condition called gastroesophageal reflux disease, or GERD. If the food refluxes into the esophagus, stomach acid mixed with the food can cause irritation. If the food refluxes all the way up the esophagus into the throat and down into the airways, irritation and infection of the airways can also happen. Although spitting up is normal, GERD may require a procedure called fundoplication. Before the procedure, the child will be given general anesthesia to put him or her to sleep during the procedure. A breathing tube will be inserted through the nose or mouth and down the throat to help the toddler breathe during the procedure. Commonly, the surgeon will make five tiny incisions near or in the belly button and on the right and left sides of the upper abdomen, and insert tubes for a camera and surgical instruments. Next, the surgeon will carefully find the lower esophageal sphincter near the entrance to the stomach. The esophageal hiatus may be tightened with sutures to prevent the stomach from slipping into the chest. The top, or fundus, of the stomach will be wrapped around the outside of the sphincter. The wrapped fundus will be sutured back on to the stomach to create a valve, which tightens and strengthens the sphincter. The fundoplication valve will help prevent stomach contents from refluxing back up into the esophagus. In some cases, the surgeon may insert a feeding tube, also known as a gastrostomy tube, into the child's stomach while the sphincter heels. This tube will deliver food directly to the stomach and allow trapped air to escape. Finally, the surgeon will close the incisions with disolvable sutures, or skin closure strips. After the procedure, the child will be taken to the recovery room for monitoring. Pain medication will be given. The child may continue to receive antibiotics through the IV. Within one to three days, the child will be released from the hospital. If the child has a feeding tube, the surgeon will remove it when he or she is able to eat normally.

YOU MAY ALSO WANT TO REVIEW THESE ITEMS:
Girl Child with Post-accident Pediatric Abdominal Injury
Girl Child with Post-accident Pediatric Abdominal Injury - exh4997
Medical Exhibit
Add to my lightbox
Find More Like This
Nissen Fundoplication
Nissen Fundoplication - exh36049
Medical Exhibit
Add to my lightbox
Find More Like This
Pediatric Anatomy - Thoracic and Abdominal Organs of Child
Pediatric Anatomy - Thoracic and Abdominal Organs of Child - AC00048
Medical Illustration
Add to my lightbox
Find More Like This
Child (Pediatric) Anatomy - Brain, Heart, Lungs and Large Bowel
Child (Pediatric) Anatomy - Brain, Heart, Lungs and Large Bowel - AC00047
Medical Illustration
Add to my lightbox
Find More Like This
Normal Pediatric Airway
Normal Pediatric Airway - exh4645a
Medical Exhibit
Add to my lightbox
Find More Like This
Fundoplication
Fundoplication - si1362
Medical Illustration
Add to my lightbox
Find More Like This
What attorneys say about MLA and The Doe Report:
"I wanted to take some time out to let you know what a wonderful job you did with the 'collapsed lung/fractured rib' illustrations. They were both detailed and accurate. My medical expert was comfortable working with them and he spent at least an hour explaining to the jury the anatomy of the lungs, the ribs and the injuries depicted in the illustrations. Needless to say, the jury was riveted to the doctor during his testimony.

The jury returned a verdict for $800,000.00 and I'm sure we would not have done so well if not for the visualizations we were able to put forth with your assistance. Lastly, my special thanks to Alice [Senior Medical Illustrator] who stayed late on Friday night and patiently dealt with my last minute revisions."

Daniel J. Costello
Proner & Proner
New York, NY

"[I] have come to rely upon the Doe Report and your great staff of illustrators for all my medical malpractice cases. … Please know that I enthusiastically recommend you to all my colleagues.

Frank Rothermel
Bernhardt & Rothermel
"Thanks, and your illustrations were effective in a $3 million dollar verdict last Friday."

Joseph M. Prodor
Trial Lawyer
White Rock, British Columbia
"Our firm was able to settle our case at an all day mediation yesterday and I am confident that the detail and overall appearance of the medical illustrations significantly contributed to the settlement. When we require medical illustrations in the future, I will be sure to contact [MLA]."

Noel Turner, III
Burts, Turner, Rhodes & Thompson
Spartanburg, SC













Awards | Resources | Articles | Become an Affiliate | Free Medical Images | Pregnancy Videos
Credits | Jobs | Help | Medical Legal Blog | Find a Lawyer | Hospital Marketing