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  Growing premie with frequent episodes of desaturation, apnea, bradycardia, cynosis  FT, baby, vomiting, some with FTT

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

10. Tracheo-esophageal Fistula

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

14.  Polyhydramnio  Xray : shows OG,NG tube  Polyhydramnio  Xray : shows OG,NG tube

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

16. 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  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

17. Malrotation  Bilious vomiting in the first week of life

25. Pyloric stenosis  Non bilous vomiting: projectile  Failure to thrive  Hypochloremic metabolic alkalosis  Non bilous vomiting: projectile  Failure to thrive  Hypochloremic metabolic alkalosis

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

34. Abdominal Wall Defect  Polydramnio  Increased AFP  Polydramnio  Increased AFP

35. Gastroschisis  Viscera has no cover  Usually on the right  Viscera has no cover  Usually on the right

39.  Pre-op: silo bag  Prophylactic antibiotic  Pre-op: silo bag  Prophylactic antibiotic

40. omphalocoele  Covering of the viscera  As part of a syndrome  Covering of the viscera  As part of a syndrome

42. Intestinal atresia

46. Duodenal atresia

48. Imperforate anus

53. Thank you