Thane A Blinman, MD, FAAP
Omphalocele is a failure of the abdominal wall to properly fuse together, leaving a membrane-covered hole in the adominal wall.
It CAN be treated after delivery. However, this disease often is accompanied by other defects (e.g. heart defects, moderate or severe lung disease, and other problems). In particular, there are a few syndromes that are rathe...
So sorry to hear about your trouble.
It is no more likely for this next baby to have gastroschisis. It certainly could still happen....it is just that the probability does not appear to be increased merely because it has happened in the family before (at least that science has so far identified; on one interesting note, the overall risk of this disease ha...
What you describe sounds like gastroesophageal reflux disease....possibly complicated by esophagitis, a stricture, or poor motility. All of these are very common in patients with tracheo-esophageal fistula....but they can be managed!
If she is suffering to the point of dehydration and very poor weight gain, she needs to be seen. A pediatric surgeon or ...
Answers follow your original questions....
What are the 3 pramary duties of a pedatric surgeon?
-->Pediatric surgeons care for all general surgical (generally no brains, long-bones, or heart) needs for patients from before birth, until around 18 years of age. This includes doing the operations, caring for children in the ICU, and usually, trauma.
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This sounds like a brush with a dangerous condition called Malignant Hyperthermia. An older review article describes it nicely: "Malignant hyperthermia (MH) is a rare autosomal dominant trait that predisposes individuals to great danger when exposed to certain anaesthetic triggering agents, such as potent volatile anaesthetics and succinylcholine. Sud...
So sorry to hear about your struggles.
It is likely that the pyloroplasty contributes to both the dumping syndrome and the gastritis. The dumping (there are two types, and you do not describe which, but "early dumping" would be likely in your case: cramps, jitters, bloat, diarrhea. "Late dumping" is a severe reactive hypoglycemia) ...
