Posted by: Peta | 2011/07/19


Mini laparotomy

hi Dr
Us again....33 month old, feeding tube, cricopharyngeal inco-ordination syndrome with laryngeal incompetence.

Tayden was in CPT last week and underwent the closing of the old peg hole due to infect etc and inserting of another right next to it. This was on Wed PM. All went well until Sat PM when he started pouring whatever fluid you put in the new peg hole, out of the old peg hole. So if you put through 50ml of milk in the new hole, it poured out the old hole within a minute or two. It also got all infected.

He was admitted to hosp on Sunday AM, and yesterday he underwent a mini laparotomy to fix all this up. He is recovering well enough, still on morphine at the moment and we are looking at a possible discharge tonight.

Is there anything specific that l should look out for in caring for him over the next couple of days?

Also, what type of vitamins or something would you suggest that l can give him to build him up - he is pretty " pap"  at the moment.

Thanks again for your valuable advice.

Expert's Reply



The best advice I can give you is to liase with an expert stomatherapist. These specialist nurses work at some of the hospitals.Ask Dr Brown about a stomatherapist. If you cannot find one then ask at the Red Cross Children's Hospital. Speak to Dr Brown about possibly giving Tayden intravenous vitamins while he is in hospital.I hope that you are working closely with a dietician because it will be impossible for you to manage this problem on your own.

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