Pediatric SurgeryAbdominal & Gastric Services

Treatment/procedure options:

A duodenoduodenostomy may be performed to relieve obstruction. This surgery bypasses the annular pancreas, allowing normal passage of food from the stomach to the intestine.

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An appendectomy may be performed to remove the appendix surgically. This can often be done laparoscopically, which is less invasive and has a quicker recover time.

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Dissolution or, in severe cases, endoscopic removal may be necessary.

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Doctors perform a special surgery called the Kasai procedure to help the baby's liver drain bile into the gut, which can help them get better and may prevent the need for a liver transplant later on. After surgery, it's super important for the baby to eat high-energy foods and take vitamins to stay strong and healthy. Medicine to help with bile flow and antibiotics to keep infections away might also be given.

Treatment/procedure options:

Doctors perform a special surgery called the Kasai procedure to help the baby's liver drain bile into the gut, which can help them get better and may prevent the need for a liver transplant later on. After surgery, it's super important for the baby to eat high-energy foods and take vitamins to stay strong and healthy. Medicine to help with bile flow and antibiotics to keep infections away might also be given.

Treatment/procedure options:

Antibiotics or gallbladder removal (cholecystectomy).

Treatment/procedure options:

Surgical removal of the cyst to restore bile flow. This may be done laparoscopically.

Treatment/procedure options:

Gallbladder removal, often due to gallstones, can be performed with minimally invasive laparoscopic techniques, offering benefits like faster recovery. This approach minimizes surgical trauma and enhances the overall patient experience.

Treatments/Procedures:

Crohn's disease, also called regional enteritis, is a type of inflammatory bowel disease that causes redness, swelling, and sores in the digestive tract. It most often affects the lower part of the small intestine, but it can also involve the colon and other parts of the digestive system, including the esophagus, stomach, appendix, and anus. Crohn's disease can develop at any age but often starts in adolescence or early adulthood.

Treatment/procedure options:

Fundoplication, a common surgical solution for gastroesophageal reflux, involves wrapping the upper stomach around the esophagus. In cases where medications don't help or if complications from Crohn’s disease arise (like blockages, abscesses, or fistulas), surgery might be necessary to remove the damaged section of the digestive tract. Our surgical team offers varying techniques for optimal results.

Treatment/procedure options:

The definitive treatment for gastroschisis involves surgery to place the intestines back inside the baby's abdomen and close the opening in the abdominal wall. If the opening is small and the intestines are not severely swollen or damaged, surgery might be done shortly after birth. In cases where the intestines are swollen or there isn't enough room in the abdomen, doctors may use a special pouch to gradually move the intestines back inside over a few days or weeks, followed by surgery.

Treatment/procedure options:

The main treatment for Hirschsprung's disease is surgical removal of the part of the colon that lacks nerve cells. After removing the affected section, the surgeon attaches the healthy part of the colon to the anus, allowing normal bowel movements. This surgery can sometimes be done in one step, but some children may need a temporary ostomy. An ostomy is a surgery that creates an opening in the abdomen for stool to exit into a special bag; it may be necessary if the colon needs time to heal or if the surgery is done in two steps.

Treatment/procedure options:

The primary treatment for hydrops of the gallbladder is surgical removal of the gallbladder, known as a cholecystectomy. This procedure can often be performed laparoscopically, using small incisions, which tends to offer a quicker recovery time than traditional open surgery.

Treatment/procedure options:

In some cases, if a specific area of the pancreas is producing too much insulin (focal hyperinsulinism), surgery to remove that part of the pancreas might be recommended.

Treatment/procedure options:

The main treatment for an imperforate anus is surgery to create a normal anal opening. The type of surgery depends on the specific anatomy of the defect, such as how high the rectum ends above the skin surface and whether there is a fistula present. Surgical correction is often required to establish a functional connection and ensure proper bowel function.

Treatment/procedure:

While often managed non operatively, surgical intervention may be warranted in some instances to manually “un-telescope” the intestines.

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Urgent surgical correction is typically required to address the malrotation and prevent complications. If the child is seriously ill at the time of surgery, an ileostomy or colostomy may be done. Children who have a large portion of the small intestine removed, may need intravenous (IV) nutrition following surgery (temporarily or permanently) and may require a special diet.

Treatment/procedure options:

If Meckel's diverticulum causes symptoms or problems, surgery may be needed to remove it. This can often be done laparoscopically, which means using small incisions, making the recovery faster and less painful than traditional surgery.

Treatment/procedure options:

Surgical intervention may include breaking up the meconium obstruction, removing any blockages, and sometimes performing a bowel resection if necessary.

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In some cases, the blockage can be successfully treated with an enema. If that treatment is unsuccessful, or more complex problems are present, surgery is required.

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In advanced cases, surgical interventions may be necessary to address complications and mitigate the impact on the bowel wall. In some cases, a temporary ostomy (an opening on the abdomen to divert waste into a bag) may be created to allow the intestines to heal.

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This condition necessitates thorough evaluation and may be linked to additional congenital problems. Surgical intervention is commonly undertaken to reposition the abdominal organs within the abdominal cavity.

Treatment/procedure options:

Surgical removal might be considered based on the characteristics and risk associated with the cyst.

Treatment/procedure options:

Surgical interventions, such as draining pseudocysts and removing dead tissue, may be necessary in severe cases.

Treatment/procedure options:

The primary treatment for both perianal and perirectal abscesses is incision & drainage (I&D). The procedure involves making a small incision to drain the pus, which relieves pain and speeds healing.

Treatment/procedure options:

Diagnosis involves tests like ultrasound, CT scans, MRI, or angiography. Treatment options include medical interventions like transfusions and medications, and endoscopic procedures. If symptoms persist, surgical evaluation may be needed.

Surgical options include palliative and restorative approaches. Palliative shunts alleviate symptoms but don't restore liver blood flow. The restorative meso-Rex bypass, or "Rex shunt," has a 90% success rate. It rebuilds blood flow, reducing spleen size and resolving symptoms.

The Rex shunt involves using a vein to create a bridge around the blockage, restoring normal blood flow to the liver. After surgery, children spend about seven days in the hospital, with post-operative care in the pediatric intensive care unit (PICU). Routine follow-ups involve blood tests, ultrasounds, and possibly a CT scan one year after surgery.

Our goal is to provide individualized treatment plans for each child, ensuring the best possible care for their specific needs and anatomy.

Treatment/procedure

Surgical intervention for pyloric stenosis typically involves a procedure called pyloromyotomy. In this surgery, the thickened muscle of the pylorus is cut to widen the opening and alleviate the obstruction, allowing for improved stomach emptying.

Treatment/procedure options:

In some cases, surgery might be needed to reconstruct parts of the intestine to improve function.

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Treatment might involve surgery to repair the spleen or remove it, depending on the nature of the problem or severity of the injury.

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Treatment might include medication to reduce inflammation and immune system activity. In severe cases, surgery to remove the affected part of the colon may be necessary to provide relief and prevent complications.

Treatment/procedure options:

Many umbilical hernias close on their own by age 1 or 2. If the hernia persists or causes complications, surgical repair, a procedure to close the hernia through a small incision near the belly button, may be recommended.

Treatment/procedure options:

Surgery to repair a granuloma is rarely needed but can be considered if other treatments fail.

Treatment/procedure options:

The treatment typically involves oral or intravenous antibiotics to fight the infection. In severe cases, hospitalization may be necessary to ensure proper care and monitoring. Surgical intervention is rare but may be needed if there is an abscess.