How Much Should A Five Month Old Baby Boy Weigh 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 a number of reasons why a baby or child might need a G-tube and fundoplication surgery at such a young age, but regardless of the reason, there are many pros and cons that parents should be aware of. Fundoplication is an operation in which the upper part of the stomach is wrapped around the lowest 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 placed if the child has been using another feeding tube, such as a nasogastric (NG) or nasojejunal (NJ) tube. A G-tube may also be placed to allow a way for air to escape from the stomach, so that the child will “burp”.

Reasons why some children need G-Tube and fundoplication

Surgery is definitely a last resort 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 cause a child to fail to thrive, but the most common would probably be a combination of GERD with poor oral intake.

It’s a vicious cycle because the acid reflux irritates the esophagus, resulting in poor feeding which can then be refluxed, usually several times a day. The child sometimes learns to associate the taste of the refluxed contents with food, and if the child refuses to eat at all, then a feeding tube would be needed to ensure that the child is getting the food he needs for the day.

However, if your baby’s reflux is not treated properly, there may be a chance of losing some or all of the tube feedings. This is why a G-tube and fundoplication is sometimes necessary: ​​a G-tube to feed the baby through the stomach and a fundoplication to ensure that food stays in the digestive system.

Advantages of G-Tube and fundoplication surgery in children

No one can deny that babies and toddlers are at an important developmental stage in their lives. Their growth is carefully plotted, developmental milestones are checked according to how many months the child is, and even the number of wet and dirty diapers is an indicator of how healthy the baby is. That is why it is imperative that the child grows and gains weight. This operation could help achieve this, simply because the G-tube would deliver food straight into the stomach, and the fundoplication would prevent it from being regurgitated.

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

The downside of pediatric G-tube and fundoplication surgery

Of course, there are certain risks associated with surgery and some possible consequences that can negatively affect the child. As with all surgeries, there is a risk of infection, which is a constant battle when a G-tube is involved. To place the G-tube, the surgeon makes a “tunnel” to the stomach from a hole under the left side of the ribs; A PEG tube is inserted into this tunnel with one end attached inside the stomach. The other end is available for the delivery of 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 this hole can be susceptible to is granulation tissue or GT; it is the skin that the body creates to repair the hole. GT is easily fixed using a prescribed steroid cream or, if it becomes very large, it can be treated with silver nitrate in the surgeon’s office.

Fundoplication surgery prevents children from regurgitating stomach contents – often prevents belching too! Since gases cannot escape through burping, they have to go the other way, which sometimes leads to pain in the child’s intestines. The stomach lining can loosen over time, allowing the child to burp eventually.

Another possibility is that the lining of the stomach will loosen completely, requiring another operation to repeat the fundoplication. Also, because this surgery requires using the upper part of the stomach to wrap around the esophagus, the stomach shrinks. As a result, less food is tolerated; vomiting may occur due to discomfort and any gas in the stomach should be released using a common technique called ventilation.

While the G-tube and fundoplication can facilitate the delivery of calories and nutrition to a child with a history of reflux and failure to thrive, it still has its drawbacks: smaller stomach volume, gas pains, vomiting, etc. However, if the child’s GERD is failing to progress and medications have failed to reduce acid reflux, a G-tube and fundoplication surgery may be the only thing that can help.

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