When would a child need surgery for stomach reflux?

GERD. This would be a last resort in most cases.It is called a nissen fundoplication. It might be indicated in severe cases associated with severe failure to thrive, severe esophagitis and/or recurrent pulmonary complications secondary to aspiration that were not responsive to positiioning, thickening of feedings and gastric acid suppression with proton pump inhibitors such as prevacid (lansoprazole).