There he is…..my guy. I wanted to say he was happy, but he is a bit sore after his procedure. Look at his face. He isn’t unhappy, I guess he is just “uncomfortable”. If you saw what they did to his intestines it would make you uncomfortable as well.
The GI Team actually did the roto-rooter deal. They took a spaghetti scope and inserted it into Zack’s ostomy. The camera allowed them to inspect his small intestines. They advanced the camera slowly and about 18 cm into the small intestines they found a spot where a turn in the intestines was constricted. The explanation I understood was that the intestines are so dilated that they are pressing on this turn and sort of flattening the turn and thus not allowing the fluid to flow freely past. Got it? Whew.
The surgeon then took over and “invented” a stent from an NG tube that had holes in it. They then inserted the NG tube in with the scope past the blockage up to about 35 cm. Then they turned on the suction to make sure it worked and it did. The hope is that gravity will pull the fluid out of his intestines into that tube and out into a bag outside of his ostomy bag, under his bed. Wow. That sounds confusing. Let me add a few pictures to help me describe this crazy deal. If you are squeamish, skip right on over these few photos:
Z’s ostomy bag with tube coming out of the lower portion:
By the way, this is an adult collection bag to accomodate the amount of tubing coming from the site.
Next photo is the bag coming from his body to the edge of the bed:
Finally, the collection bag under his bed:
Not all of the fluid will be collected by this tube. It is hoped that the remaining fluid will follow the tube and come out into the ostomy collection bag attached to his body. We hope to keep the tube in for 24-48 hours. The doctors think Z’s body will probably push the tube out over time. We also hope the swelling of the intestines will diminish allowing the constricted turn to open up and drain on its own.
Now the if’s…
1. If the drain stays in and drains properly, we will disconnect it in 24-48 hours and see if his body can work on its own. If so, yay…we can go home early next week.
2. If the drain stays in and drains properly and is disconnected and does NOT work properly, we will go back to draining his ostomy manually. Jim and I will be taught how to do this until his body can do it on its own. Joy. BUT we could still go home :).
3. If the drain does not drain properly, Jim and I will be taught to drain it and can go home early next week if everything else remains the same. If his body does not begin to work, we will continue draining the ostomy until his body is healed enough to perform another surgery in the near future.
As you can see, most of these options include us coming home sometime next week. I am afraid to type this…..I hope it is really true…..
Another exciting thing for Z is that his NG tube was removed. Most of the fluid was making its way down the intestines away from the NG tube, we weren’t getting much waste from that. Zack has been so brave and strong through all of this and rarely cries. Having his NG tube messed with sets him over the edge. Having it out was a big deal for him and that makes me happy. If all goes well tonight, Zack might get to have a drink tomorrow. He’s already planned it out and has decided his first drink will be apple juice. Sounds wonderful.
Zack would like to post a picture of his crayons. So here you are:
Overall, a very good day indeed. We needed that!