How Many Dirty Diapers Should A 4 Month Old Have Pros and Cons of G-Tube and Fundoplication Surgery in Children

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Pros and Cons of G-Tube and Fundoplication Surgery in Children

There are many reasons why a baby or child would need G-tube and fundoplication surgery at such a young age, but regardless of the reason, there are many advantages and disadvantages involved that parents should know about. Fundoplication is an operation in which the upper part of the stomach is wrapped around the lower part of the esophagus; this is usually done to treat gastroesophageal reflux disease (GERD) if medications have proven ineffective for the child. A G tube, or gastrostomy tube, may be inserted if the child has been using another feeding tube, such as a nasogastric (NG) or nasojejunal (NJ) tube. The G-tube may also be inserted to provide a method of releasing air from the abdomen, so that the baby can be “rotated”.

Reasons why some children need a G-Tube and Fundoplication

Surgery is definitely a last option when it comes to children, but it is sometimes necessary to improve the health of patients. “Failure to Thrive” is a term often used when a child falls off the growth chart, and it is an indication that the child needs more nutrition and calories. There are several conditions that could lead to a child’s failure to thrive, but the most common would probably be a combination of GERD and poor oral intake of food.

It is a vicious cycle as the acid reflux irritates the esophagus, causing poor food that can then reflux out, usually several times a day. Sometimes the child learns to associate the taste of reflux with food, and if the child refuses to eat at all then a feeding tube will be required to ensure the child gets the nutrition he needs every day.

However, if the child’s reflux is not treated adequately, there may be a chance that some or all of the tube feedings will be lost. That is why sometimes a G-tube and fundoplication is necessary: ​​the G-tube to feed the child in the stomach, and fundoplication to ensure that the food stays in the digestive system.

Advantages of G-Tube and Fundoplication surgery in children

No one can deny that babies and young children are at an important developmental stage in their lives. Growth is clearly marked, developmental milestones are checked by how many months the child is, and even the number of wet and dirty diapers is an indicator of how healthy a baby is. That is why it is so imperative that a child grows and gains weight. This operation could help achieve this, simply because the G-tube would deliver food straight to the stomach and the fundoplication would prevent it from being thrown out.

Another advantage of this, if the child used an NG or NJ tube, is that it would help with oral feeding. NG and NJ tube placement requires a very thin, flexible tube to be inserted through the nose, down the esophagus, and into the stomach or intestines. Having a tube in your nose and also the back of your throat doesn’t sound very comfortable, and having a tube holding the “lid” in your stomach open doesn’t sound like it would help with reflux either. Eliminating this type of feeding tube would make the child a lot more comfortable with oral feeding and stimulation.

Disadvantages of G-Tube and Fundoplication surgery in children

Of course, there are some risks involved in surgery and some possible after-effects that can negatively affect the child. As with all surgeries, there is a risk of infection, and it is an ongoing battle when a G-tube is involved. To insert the G-tube, the surgeon makes a “tunnel” in the abdomen from a hole under the left side of the ribs; A PEG tube is inserted into this tunnel and one end is secured inside the abdomen. The other end is available to deliver food and medicine, and often needs to be secured inside the child’s clothing.

As long as the G-tube is in use, there is a hole in the body that can be susceptible to infection. Another thing that this hole can be sensitive to is granulation tissue, or GT; the skin is created to fix the hole. GT is easily fixed using a prescribed steroid cream or, if it becomes very large, can be treated with silver nitrate in the surgeon’s office.

Fundoplication surgery prevents children from throwing up stomach contents—it often prevents them from belching, too! There is no way for gas to rise in a burp, it has to go the other way, sometimes leading to gas pain in the child’s intestines. The belly wrap can loosen over time, allowing the baby to burp eventually.

Another possibility is that the abdominal wrap will loosen completely, requiring another operation to redo the fundoplication. Also, since this surgery requires you to use the top of the stomach to wrap around the esophagus, the stomach becomes smaller. As a result, they tolerate a smaller volume of food; Vomiting in discomfort may occur and any gas inside the stomach needs to be released through a common technique called venting.

While the G-tube and fundoplication can make it easier to provide calories and nutrition to a child with a history of reflux and failure to thrive, it still has its disadvantages: smaller abdominal volume, gas pain, vomiting, etc. However, if GERD has made a child a failure to thrive and the medications have failed to reduce the acid reflux, the G-tube and fundoplication surgery may be the only thing that can help.

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