Pediatric Esophageal Surgery

Our surgeons are pediatric specialists, dedicated to treating esophageal conditions and other digestive disorders in children. We understand children’s unique anatomy and needs, and we tailor our approach to offer each child the best outcome.

When you come to Children’s National for esophageal surgery, your child receives care that is:

• Expert. We have some of the nation’s leading experts in procedures for reflux and GERD. Families from across the country come to our facility to receive the specialized, expert surgical care we provide.
• Advanced. We perform even the most complex procedures, such as esophageal replacement. For children who can’t use their esophagus due to illness or injury, we have the resources and skills to replace the esophagus, improving your child’s health and quality of life.
• Comprehensive. No matter your child’s age — from babies to young adults — or the type of procedure he or she needs, our surgical team has a high level of expertise. We work closely with other pediatric specialists so your child receives the full spectrum of care.
• Minimally invasive. We always strive to perform our procedures using the least invasive approach possible. We use an endoscopic approach in most cases. This leads to less pain and a shorter recovery for your child. Learn more about minimally invasive surgery and surgical endoscopy at Children’s National.

Some of the esophageal procedures we perform include:

• Peroral endoscopic myotomy (POEM). This is the newest technique of surgery that treats esophageal achalasia in children. During the surgery only a single incision is done in the esophagus, and no incision in the abdomen. Children who have the POEM procedure reported less pain following Heller myotomy, faster recovery time and a shorter hospital stay. In addition, POEM can be performed at any point in treatment, even if other therapies or surgical interventions (including a Heller myotomy) have been previously performed. It can also be repeated if needed.
• Fundoplication surgery for GERD. During this procedure, our surgical team wraps the upper part of the stomach (the fundus) around the esophagus. The lower part of the esophagus passes through a small portion of the stomach (fundus). The goal of the procedure is to strengthen the valve between the esophagus and stomach, preventing acid from backing up into the esophagus.
• Esophageal replacement. We have years of experience performing this rare, complex procedure. We may recommend this procedure for a child who ingested a substance that damaged the esophagus, or for a child who has esophageal atresia, in which the esophagus does not function properly. During this surgery, we use part of the stomach to replace the esophagus.
• Heller myotomy for esophageal achalasia. This procedure can provide long-term relief to patients with achalasia, a condition that affects your ability to swallow. This surgical procedure involves cutting the muscles of the lower esophageal sphincter to aid swallowing by preventing gastroesophageal reflux.
• Surgical removal of esophageal duplication cysts. We can remove these cysts, commonly found in children, using a minimally invasive procedure, often with thoracoscopy, a type of surgical endoscopy.
• Surgery for hiatal hernias (acquired or congenital). Hiatal hernias do not often cause symptoms. If your child’s hernia causes severe symptoms, such as reflux and pain that do not respond to medication, we may recommend surgery to correct it.
• Redo Laparoscopic antireflux surgery. This minimally invasive procedure can be an effective treatment for GERD. We perform this surgery using thoracoscopy, a type of surgical endoscopy.