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Because of Noah's severe reflux and now aspiration problems, it was decided that an open nissan fundoplication was necessary. Basically what the surgeon does is wrap the top of the stomach (fundus) around the bottom of the esophagus. This prevents food from coming back up so he won't be able to reflux and aspirate. This afternoon Noah had surgery and it went well. He is now in PICU still intubated and on the ventilator as he was having alot of breathing difficulties after the surgery.