Surgical evaluation

Well i feel so much better today! I was a bit freaked out about it all last night. Ian is now at children's hospital. He's been seen by the whole surgical team and i explained to them what's been going on. They think that the excess abdominal distention caused the prolapse of intestine into the ostomy bag, as well as taht the distention is caused by Ascites. The ascites is caused from liver damage due to long term tpn (his iv nutrtition). [When the liver cannot function properly, it releases fluid into the abdomen..thus causing ascites...causing the abdomen to be really swollen.] So, they are doing a distal study (running a dye substance through his fistula to see how it routes throughout his intestines) in the morning. They are still waiting on Dr. L to get back in town to consult, but things are stable for now and Dr. P is on top of it getting everything ready. She says the surgery will most likely be very soon and since it's been almost 7 weeks now, it is about the time they intended to do it anyhow. IF when they get in there, they still cannot fix the mass of intestines, she says that if they can find a long portion of intestine useable, they can reroute that to the stomach and create new stomas....this way he'll have more length to absorb nutrients and get off the tpn. In that case, they would just wait several more months til he's older to completely fix and reattach everything. For now, they say the prolapse will be okay and they will monitor it, it's not strangulated or anything. The dr's say the surgery will be tough and will be a hard recovery and will get pretty bad before we see improvements. But, i say he was much much sicker last time and pulled through, so he will this time too! I'm feeling much better today knowing something will be done soon to help him, and that they are testing to see what they "can" see prior to going in blindly.