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Pre-mature infant has surgery for a duodenal artresia.

Sent to Health Experts January 14 11:03 p.m.

Pre-mature infant has surgery for a duodenal artresia. Stays in NICU for four weeks. Mother feeds baby Pregestimil for 3.5 weeks and then starts mixing half pregestimil and half regular Enfamil. Baby is back in Intensive care with large amounts of bile excreted from mouth, npo and they are calling it flu induced ileus. What do you think?

Optional Information:
Male, Age: 8 weeks, Indiana

Already Tried:
Surgery on duodenal web. Upper GI showed slow movement with no obstruction.

Customer (name blocked for privacy)

Status: Closed Value: $15

Answer
January 14 11:15 p.m. (11 minutes and 22 seconds later)

REPLIED

Greetings.

Since there is no obstruction (anatomical obstruction is ruled out by GI series), with slow movement of the gut, it is classified as paralytic ileus (paralysis of intestines). This is physiological obstruction and usually self limiting and should remit in 3-4 days. Does not look like complication of surgery.

Your follow up questions are welcome.

Dr. Arun

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Dr. Arun Phophalia -- Doctor (MD) -- 100% Positive Feedback on 2783 Health Accepts
MBBS, MS (General Surgery), Post-doctoral Fellowship in Sports Medicine

Reply to Dr. Arun Phophalia
Sent January 15 8:09 a.m. (8 hours and 54 minutes later)

What is paralytic ileus and why does it occur. Should tests be ran to check the actual bile duct and its functioning?

Customer (name blocked for privacy)

Reply
Sent January 15 8:14 a.m. (4 minutes and 25 seconds later)

How do we know when it is the right time to try and feed again so we do not have another incident where he chokes to the point of having aspirations?

Customer (name blocked for privacy)

Answer
January 15 8:22 a.m. (8 minutes and 40 seconds later)

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Dr. Arun Phophalia -- Doctor (MD) -- 100% Positive Feedback on 2783 Health Accepts
MBBS, MS (General Surgery), Post-doctoral Fellowship in Sports Medicine

Answer
January 15 8:25 a.m. (2 minutes and 40 seconds later)

ACCEPTED

Hello,

Absence of abdominal distension, return of bowel sounds, normal passage of flatus and absence of vomiting are the signs, which indicates that things have returned back to normal.

Dr. Arun

Dr. Arun Phophalia -- Doctor (MD) -- 100% Positive Feedback on 2783 Health Accepts
MBBS, MS (General Surgery), Post-doctoral Fellowship in Sports Medicine

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