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Anest. and RSS kids

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Hi,

Just wanted to relay this info. as it was helpful for us to know

about it. TJ, my 4 1/2 year old son went in for surgery on Wed. to

replace his worn out GJ button. The Anest. went into great detail

about how he was going to intubate TJ. He felt because of TJ's small

size, jaw, etc., the safest way to intubate is using a florascope.

In using this he can see all the way down so the tube is correctly

placed. Something to remember when your child needs surgery.

TJ ended up having two surgeries, one on Wed. that did not go as

planned. Due to the location of his g-tube on the inside of his

stomach it was impossible to pass the j-tube through with an

endoscope. After 3 1/2 hours and two surgeons they decided to stop

trying. TJ spent the night in the hospital as a precaution and on

Thurs. went back to surgery to have the j-tube placed through

intervental radiology.

The surgical team feels the hole inside the stomach (we thought the

inside hole was in-line with the hole on the outside, not so) needs

to be moved away from the pyloris. The hole was in a good location

last year however as TJ has grown (YEAH) it has become an issue. The

recommendation is to redo his g/j tube site in a few months.

They feel with the g/j tube hole being further away from the pyloris

it should stop his vomiting and may help increase the emptying of the

stomach. The way the tube sets in now they feel it it possible it is

partially blocking the pyloris (exit from the stomach to the

intestines).

More to think about! TJ is home and doing well. He just complains

of a sore throat which I think is normal after two intubations!

Meribeth

Thanks,

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