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Reflux and fundos

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I have been reading about the kids who have had fundos and are now

having reflux problems again - and Dr. H. recommending that the

fundos be redone. Max, too, has had a fundo, done last August, and

he seems to have increased reflux again, too. I wonder why this is

happening? This may be something to bring up with Dr. Spigland at

the convention. After all, she is the one who did fundos for many

of our kids in NYC.

BTW, there is NO WAY I would put Max through that again. The

emotional setback and the lack of pain control were just too hard on

all of us.

Jodi Z.

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Hi all - I look forward to seeing everyone at the convention this week. Jodi

Z. I was wondering how many other Fundo kids out there were retreating back

to their old reflux ways? I honestly thought by having the Fundo Henry would

not need to take any reflux meds - so when his reflux came back about a year

after surgery I was shocked. I did not remember Dr. H or Dr. Spigland

mentioning that possibility prior to surgery.

See you in Chicago,

Hurlin

Henry - RSS, fundo/g-tube/pyloro, periactin, miralax, prilosec, zantac,

peptamen jr 31 lbs, 37 1/2 in, 4yrs old

- nonRSS, 43lbs, 48in. 8yrs old

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Dear :

Please excuse me for asking but I am new to all of this. What is

Fundo? I hope you were able to get some answers while at convention.

I hope Henry is doing better.

> Hi all - I look forward to seeing everyone at the convention this

week. Jodi

> Z. I was wondering how many other Fundo kids out there were

retreating back

> to their old reflux ways? I honestly thought by having the Fundo

Henry would

> not need to take any reflux meds - so when his reflux came back

about a year

> after surgery I was shocked. I did not remember Dr. H or Dr. Spigland

> mentioning that possibility prior to surgery.

>

> See you in Chicago,

>

> Hurlin

> Henry - RSS, fundo/g-tube/pyloro, periactin, miralax, prilosec, zantac,

> peptamen jr 31 lbs, 37 1/2 in, 4yrs old

> - nonRSS, 43lbs, 48in. 8yrs old

>

>

>

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Hi !!

We're ending up with as many s as we have Jodies on the list serve!

LOL

Fundo is short for fundoplication. This is a surgery, usually done along

with the placement of a g-tube. The most common type of fundo used is called

a Nissen. This is a 360 degree wrap around the bottom of the esophagus at

the top of the stomach. It helps to control reflux.

Another surgical procedure done along with the placement of a g-tube is

called a pyloroplasty, or the combination of an antro/pyloroplasty. This

procedure cuts through the muscle at the bottom of the stomach called the

pylorus sphincter, to help increase the stomach emptying time. Many of our

kids have problems with delayed gastric (stomach) emptying.

I didn't feel that the question of " why " so many of our kids, that have had

fundos previously, and are having severe to moderate problems with reflux,

was ever adequately answered. It was explained that there are numerous

situations that can " break down " or " blow " the fundo, but no one ever said

if there was a way to prevent this. One thing that is supposed to help is to

vent the child regularly, and this is why Dr H pushes the 4-6 hour venting

schedule religiously.

I hope that this explanation helps!

Feel free to ask for clarification of anything I wrote.

Pat (g-ma to , RSS, 31 months, G-Tube)

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