کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
4172826 | 1275779 | 2009 | 10 صفحه PDF | دانلود رایگان |
Gastrostomy feeding has become widespread as an effective means of preventing or reversing malnutrition in children with chronic illness. Gastrostomy should be considered in all patients with ‘long-term’ reliance on nasogastric tube feeding; while not clearly defined, this period is usually considered to be more than 6 weeks. Children with neurodisability represent the largest group of patients with gastrostomy; parents must be closely involved in the decision-making process that leads to tube feeding, understand the potential benefits and disadvantages, and be supportive of this intervention. There is a small number of important relative and absolute contra-indications to gastrostomy, which is almost always performed as a percutaneous endoscopic procedure. Complications are well recognized, common, and often avoidable. Ideally, care of children who have a gastrostomy should include clear referral pathways and management protocols, education of parents and carers by specialist nurses, the availability of expert and experienced operators for insertion, advice from a nutrition support team, and rapid referral pathways for management of complications.
Journal: Paediatrics and Child Health - Volume 19, Issue 9, September 2009, Pages 415–424