Preliminary experience with SILS in children appears to be safe and effective. Greater numbers and a prospective trial will be necessary to assess the true benefit of this approach.

These data demonstrate that the need for gastrostomy tube repositioning is rare in the short term, regardless of approach, although a takedown of the gastrostomy is more likely when an open fundoplication is performed.

The endoscopic U-stitch technique is safe and allows for primary button placement in infants and children. Its complication rate compares favorably with other laparoscopic and open techniques described in the literature.