Seven months

Aiden weighs 9lbs 11 oz.  and is now 27 inches long.  He is still vomiting up a large amount after feedings.    The surgeons have decided that he needs surgical intervention at this point to try to fix the reflux issues.  He is scheduled for surgery on 2/25/10.  The surgeon is going to try and perform a Nissen  Fundaplication procedure that will help eliminate most of the reflux issues.  With this procedure they will take part of Aiden's stomach and wrap it around the lower end of the esophagus.  This will cause tightness and pressure on the esophagus when the stomach is full.  Therefore, Aiden should not be able to throw up.  The surgeons main concern with the surgery is that his liver is right on top of all his organs because of  organ placement during the reduction surgeries.  If the liver is to far in front of the stomach the surgeon will be unable to perform the Nissen surgery.  Thus, they are going to also put in a G-tube.  This will be used for feedings in case they can't do the Nissen procedure.  Along with these two procedures they are going to also try and repair his inguinal hernias, perform the Ladds procedure, and do an appendectomy.  ( The Ladds procedure is necessary to eliminate any possible twisting of his intestines which could cause blockage.  This is a common complication related to malrotation of his intestines from the omphalocele.  The appendectomy is necessary because it is located in a different location than normal also because of malrotation. While the appendix is normally located on the right side his is on the left.)