Gastrointestinal Issues

I was would like to know what most practice in regard to timing of inguinal hernia repair on preemies. I have found this question sometimes difficult to answer given the magnitude of implications which I would like to mention and get your opinion on: 1- Preemies are at higher risk to develop acute surgical complications from a inguinal hernia compared to older infants, but I've never seen one occur in over 7 years of NICU experience, have you? 2- Some consider the repair of an inguinal hernia a relative surgical emergency because of the above, do you? 3- Most inguinal hernias in preemies will be repaired before the infant is discharge home from the NICU, do you do this…

Dear 99´ers, i would be curious to know about cases where abdominal wall massages led to intestinal volvulus. We have had a 26 weeker with massive air distension of the abdomen and visible bowel loops. A feeding tube was placed rectally to relieve flatus, followed by an abdominal wall massage which reduced the abdominal distension significantly. One day later the abdomen presented livid and distended again. Following surgery a volvulus of the small intestine was diagnosed and 90 centimeters of the intestine were already necrotic and had to be resected. The child now has 30 centimeters of ileum left. Has anyone experienced anything similar so far? In (Arch Pediatr. 2…

Dear all, I have been asked to post the following clinical case born in a Swedish hospital: Term infant, normal pregnancy and delivery. The infant has a "ridge" of umbilical-like tissue, stretching from the umbilicus and to sternal tip. The ridge is freely movable from the deeper structure. No secretion. There are no external malformation apart from this ridge. The infant is well, breast-feeding normally, has passed meconium and urine, not vomiting etc. A plain abdominal x-ray has shown no pathologies. It seems that the infant has some kind of abdominal wall defekt, but what is the diagnosis? Has anyone seen something similar?

Posted 07 December 2009 by enaid1 I would like information concerning the efficacy of probiotic (enterally) and its useage as prevention of NEC in the preterm infant. Currently in our Hi level II SCN, our neos currently write orders for 100mg Primadophalous to be added to formula or breast milk with every feeding or every other feeding. I'd like to hear any comments. I'm putting together an education piece for my SCN staff as their nurse educator. Thanks!

Hello, warm greetings from Ecuador. In our NICU, we have a newborn to 4 days of age who has been diagnosed with intestinal atresia. This pathology in our country, we can not solve. I am writing to assess the probability that this child will do a intestinal transplant that can save your life. Any help is welcome. Sincerely, Dr. Fernando Agama C. Unidad de Neonatología Hospital "Dr. Enrique Garcés" Quito-Ecuador

Maternal medications and environmental exposures as risk factors for gastroschisis. LINK Young maternal age and smoking during pregnancy as risk factors for gastroschisis LINK Is there epidemiologic evidence to support vascular disruption as a pathogenesis of gastroschisis? LINK TO DOWNLOAD

Hai, During the care of preterms 29-32wks after the initaial days of Early NEC IS DONE WITH ,we encounter problems of feed residues(upto20-30-%).We initially start them on Domperidone0.1-0.2ml/kg/dose and if still present add up Omeprazole1mg/kg/day and if still persistent add up Erythromycin.There are conflicting dosage schedules here though we start at 10mg/kg/dose qid.I want to know from the forum whether such high dose will not result in gastritis though I have never encountered the same problem and also whether the dosing is correct:)

hi all How often do you use H2-blockers to prevent stress ulcers ,for critical il newborn or premature.thanks

Your choise in the case: Observation, how long time? Surgeon, the time of intervention? 2 kg, term male baby, SGA.

Dear Colleagues, we have one baby with short bowel syndrome after surgery for NEC. He had his gall bladder accidentally removed, unfortunately. He has ileostomy. He developped watery diarrhea. Stool analysis, C/S, Rotavirus, Reducing substances, all are negative. We reviewed literature and found that cholestyramine can be used in such cases, especially after removal of gall bladder. Do anybody has experience with that?