Statement of the Problem: Gastro-esophageal reflux disease (GERD) is characterized by regurgitation of gastric content into esophagus. It is prevalence is about 20% of US population and it is caused by multiple mechanism according to Western medicine, leading to a disruption of the junction of the esophagogastric barrier. The symptoms manifestations can be heartburn and regurgitation, or some atypical symptoms such as chest pain, chronic cough or dental erosions. According to traditional Chinese medicine, gastro-esophageal reflux could be caused by imbalances in the Stomach and Liver energy or both. Purpose; the purpose of this study is to demonstrate that patients with gastro-esophageal have deficiencies in energy in chakras’ energy centers (mainly fifth chakra) and the corrections of this imbalances are very important to treat the cause of the cause of GERD ( using Chinese dietary counseling, auricular acupuncture with apex ear bloodletting and homeopathies medications to replenish the chakras energy centers according to the theory Constitutional Homeopathy of the Five Elements based on traditional Chinese Medicine and crystal-based medications) without need to do surgical intervention. Methods; through two cases reports, both with diagnosis of GERD by gastro physicians using medications to reduce protons without any improvement. They started the treatment using Chinese dietary counseling (avoiding dairy products, raw food, coffee, tea, fried food, egg chocolate, honey, coconut and alcoholic beverages) , submitted to auricular acupuncture with apex ear bloodletting twice a week and also, the physician performed radiesthesia procedure. Results: the result of the radiesthesia procedure were that all the chakras energy centers of all patients were in the lowest level of energy, mainly the fifth chakra, that is responsible for the digestive system. The treatment replenishing these chakras energy centers were the major importance in this treatment and both patients recovered from the GERD only doing clinical treatment without need to intake the medications or doing surgery. Conclusion; the conclusion of this study is that patients with GERD has chakras energy centers deficient in energy and the treatment rebalancing the internal energy and replenishing the chakras energy centers with highly diluted medications were important to recover completely the symptoms presented by the patients without the necessity of doing any surgical procedure.

Introduction
We are discussing common surgical disorders of the gastrointestinal system that warrant surgical intervention. Inguinal hernia repair is the commonest procedure performed in Preterm and Infants. The premature infants have higher chances of incarceration and complications and are recommended for early surgery. Etiology is mainly attributed to failure of the Process vaginalis to close .  These children have upto 30 % chances of having contra lateral inguinal hernias. Controversies exist for examination of the contralateral side for hernia in children less than 1 year of age due to higher incidence of contra lateral patent process vaginalis.  Different modalities have been used to diagnose coexisting patent processes vaginalis. Like exploration, U/S Herniogram and laparoscopy.

Material and method’s
Vomiting in children is common and mostly related to medical condition. However there are surgical conditions associated with vomiting  which needs to be acknowledge and diagnosed early. Bilious vomiting is an ominous symptom and needs to be taken seriously. Any baby who vomits bile should be considered as having an underlying intestinal obstruction until proved otherwise.

Conclusion:
More recently we have encountered a subgroup pf patients that have genuine intussusception on radiological examination but not causing complete bowel obstruction and still associated with had srool in the large bowel and still needs simple fleet enema to cure.

We hope by highlighting this new phenomenon to avoid unnecessary radiological investigation and unnecessary abdominal