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Common GI Problems in Babies

Common GI Problems in Babies. Dec 23,2011. GERD. Growing premie with frequent episodes of desaturation, apnea, bradycardia, cynosis FT, baby, vomiting, some with FTT. Management. Position Thickened formula with rice cereal Meds: H2 blocker: ranitidine, famotidine Acid pump inhibitor:

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Common GI Problems in Babies

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  1. Common GI Problems in Babies Dec 23,2011

  2. GERD • Growing premie with frequent episodes of desaturation, apnea, bradycardia, cynosis • FT, baby, vomiting, some with FTT

  3. Management • Position • Thickened formula with rice cereal • Meds: • H2 blocker: ranitidine, famotidine • Acid pump inhibitor: • Sphincter: • Gastric wall protection:

  4. Tracheo-esophageal Fistula

  5. TEF • “frothy secretion” • First feeding: choking, coughing, regurg • Pneumonia • Respiratory distress • Isolated or syndrome

  6. Polyhydramnio • Xray : shows OG,NG tube

  7. Pre-op • Prevent aspiration pneumonia; sump suction • NPO • r/o sepsis • 2 D echo: VSD • Identify asstd malformation

  8. Post-Op care • End to end anastomosis • Paralyze patient x 7 days • Vent support: CPAP? • Nutritional support: TPN • Flouroscopy: prior to po feeds • Complication: GERD, stricture,poor motility, fistula tracheomalacia

  9. Malrotation • Bilious vomiting in the first week of life

  10. Pyloric stenosis • Non bilous vomiting: projectile • Failure to thrive • Hypochloremic metabolic alkalosis

  11. Pre-op Care • Correct fluid and electrolyte imbalance • Acid base imbalance • Post: feed patient PO once awake

  12. Abdominal Wall Defect • Polydramnio • Increased AFP

  13. Gastroschisis • Viscera has no cover • Usually on the right

  14. Pre-op: silo bag • Prophylactic antibiotic

  15. omphalocoele • Covering of the viscera • As part of a syndrome

  16. Intestinal atresia

  17. Duodenal atresia

  18. Imperforate anus

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