TOFS were joined by Dr Osvaldo Borrelli, MD PhD (Head of Clinical Service – Speciality Lead and Consultant Paediatric Gastroenterologist at Great Ormond Street Hospital) for our Q&A session. This session focussed on gastro issues that children born with OA/TOF may face.
[Tip: Use the quick links below to jump to any part of the video]
02:20 Is there much that can be done about dysmotility? Or is it something our children have to learn to live with?
03:46 My 2 year old gets thicker food stuck and regurgitates it. Do you have any advice for this?
05:14 Is it typical for teenagers to begin experiencing further problems linked to poor oesophageal muscle function / reflux?
07:12 Do you have any advice for a 15 year old with an oesophageal shelf at the site of their join?
08:46 My son is 3 and has never had any reflux issues. How do I know there is no damage being created in the lower part of his oesophagus?
11:13 Do some foods exacerbate reflux more than others, particularly at bedtime?
12:52 Any advice for an OA/TOF child with a cough that can impact their breathing?
14:26 Is sleeping on a sloping bed useful?
15:18 Is Barrett’s Oesophagus more common in OA/TOF and what are the symptoms?
17:50 Could reflux be causing dental issues with a child’s milk?
19:56 Is there an impact on weight gain with a Nissen Fundoplication?
23:16 What are the long term effects of Omeprazole and PPI’s?
27:28 Can Omeprazole make my child gassy?
29:02 What are the long term side effects of H2 blockers like Famotidine?
31:19 Can long-term intake of a proton pump inhibitors lead to issues in the gut?
33:21 What does the current research show for OA/TOFs about preventative antacid use?
36:29 Can giving a child viscous budesonide have negative effects?
40:36 What other alternatives are there for treating chest infections other than antibiotics?
43:03 Do you have any advice for a 4 year old OA/TOF who is struggling with weight gain?
46:29 Is there a reason why a child can become dairy intolerant after recovering from episodes of diarrhoea?
48:49 Is there any connection with a bowel malrotation, and TOF/VACTERL association?
49:32 Is there any medication to help a child born with a imperforate anus to potty train?
51:36 What is the best age to do a PH impedance study?
52:30 Can PPIs cause chest infections?