Pleurisy and Pancreatitis from Surgery?

[GreywolfAV]

My 9 year old daughter had a G-tube placed a month ago by open surgery. After the surgery we noticed she was still having pain. We took her in for an Upper GI series and it turned out she had GERD, assumed to be from the G-Tube placement. The doctor put her on Previcid, and Reglan and told us to keep an eye on her. She went back later for a checkup and during an X-ray they saw a

[Aliza7]

A related discussion, Does omnicef cause Pancreatitis? was started.

[National Jewish]

My first question about this young lady is what is her underlying medical issues requiring her to need a G-tube at this age.  Commonly with an evaluation for a G-tube, an upper GI is done prior to assess for reflux and possible aspiration risk.  It is not clear whether this young lady had reflux before the G-tube rather than after based on her upper GI series.  I am not clear that this was done.  Additionally, a pH probe may have helped the diagnosis of reflux prior to the G-tube placement.  Not knowing any underlying conditions warranting the need for the G-tube, I cannot provide additional information as to the cause of the etiology.  While the CT scan was suspicious for pancreatitis were blood tests such as amylase and lipase also performed.  These levels are commonly elevated if a clinical diagnosis of pancreatitis is confirmed.  It is unlikely that the steroids or the procedures were the cause of the pancreatitis.  Furthermore, without the actual radiographs, I cannot comment on the location of the fluid and the association with pneumonia.  I am also not clear that a CT scan of her chest was done to help identify the issues of the fluid.  This may be more helpful than the x-rays.  Finally, an acute aspiration event can cause a "shadow" on the lung and then clear unless a patient is chronically aspirating.  The bronchoscopy may miss an acute aspiration if it is done over 5 days after the initial aspiration event.

[myproblem]

What is the underlying problem that caused the need for the G-tube?

[GreywolfAV]

She is handicapped and has had eating problems.