Jejunal obstruction: looking for more knowledge about the co Posted: 10-20-06 14:14pm
I have a son who was born with dilated
loops in his bowel..He was diagnosed with
a Jejunal obstruction...He has undergone 3
major surgeries of which some of his
intestine has been removed because there
is no blood flowing to that particular
part of this intestine...With the most
recent surgery the Dr.s told my husband
and I that my son has a one major blood
vessel which they are hoping does not kink
around his intestine because it could be
fatal to the baby....
Everytime my son has surgery though
adhesions form and the intestine never
gets a chance to heal it continues to
cause blockage....The baby was currently
put on Lasix medications to help with his
high blood pressure and water
retention...My son is swollen and is also
on antibotics from possible
inflmattion...Could the retention of water
be causing so much drainage from his GT
TUbe...
He currently has a GI Tube which is out
putting about 300ML of green drainage into
a bottle...The surgeon seems to think this
is normal after surgery, However it very
high...My question is when does the
drainage decrease after a week or two and
when is it cause for alarm if it does not
decrease ??? If all goes well and my son
is able to be fed can is he at risk for
another obstruction if so what other
alternatives do these Dr's have ??
I need help, I have not been able to bring
my son home and I am at ends sometimes
please provide me with some knowlege...
According to your description, your son is
probably experiencing a strangulation type
of "obstructive ileus". In such cases, not
only is the intestinal passage disturbed,
but the intestinal blood circulation is
also disturbed. Disturbed blood
circulation causes infarction (ischemic
necrosis) of the intestinal wall that is
life threatening and urgent surgical
intervention is requested. Peritoneal
adhesions can be a possible cause of
repeated strangulation types of ileus.
Gastric suction is a standard procedure
for removing the juice from the intestines
after any surgical intervention on the
gastro-intestinal tract. Antibiotic
therapy for preventing infection is also a
standard procedure. Water retention and
consequent swelling and high blood
pressure are a serious condition and
kidneys have to be examined. Diuretics
(Lasix) are given for expelling the
sufficient water from the body and
decreasing high blood pressure. You can
consult a pediatric nephrologist for more
information and to follow up.
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