A Descriptive Study of Complications of Gastrostomy Tubes in Children

Goldberg, Elizabeth; Barton, Sharon; Xanthopoulos, Melissa S.; Stettler, Nicolas; Liacouras, Chris A.

doi:10.1016/j.pedn.2008.07.008

Cited by 40 publications

(47 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…17 Skin issues related to MASD are common in children with gastrostomy tubes and include granulation tissue formation, infection, and skin irritation as a result of leakage. 54,55 Use of a hydrocolloid or foam dressing to protect the skin around the gastrostomy site may be helpful in minimizing irritation from leakage, although in the authors' experience use of a hydrofiber dressing around the gastrostomy is more helpful when there is a significant amount of drainage due to the limited absorptive capacity of hydrocolloid dressings. In the experience of one of the authors, use of a hydrofiber dressing around the gastrostomy can also help to prevent the formation of hypergranulation tissue.…”

Section: Dressings and Products In Pediatric Wound Carementioning

confidence: 96%

Dressings and Products in Pediatric Wound Care

King

Stellar

Blevins

et al. 2014

Advances in Wound Care

View full text Add to dashboard Cite

Significance: The increasing complexity of medical and surgical care provided to pediatric patients has resulted in a population at significant risk for complications such as pressure ulcers, nonhealing surgical wounds, and moistureassociated skin damage. Wound care practices for neonatal and pediatric patients, including the choice of specific dressings or other wound care products, are currently based on a combination of provider experience and preference and a small number of published clinical guidelines based on expert opinion; rigorous evidence-based clinical guidelines for wound management in these populations is lacking. Recent Advances: Advances in the understanding of the pathophysiology of wound healing have contributed to an ever-increasing number of specialized wound care products, most of which are predominantly marketed to adult patients and that have not been evaluated for safety and efficacy in the neonatal and pediatric populations. This review aims to discuss the available data on the use of both more traditional wound care products and newer wound care technologies in these populations, including medical-grade honey, nanocrystalline silver, and soft silicone-based adhesive technology. Critical Issues: Evidence-based wound care practices and demonstration of the safety, efficacy, and appropriate utilization of available wound care dressings and products in the neonatal and pediatric populations should be established to address specific concerns regarding wound management in these populations. Future Directions: The creation and implementation of evidence-based guidelines for the treatment of common wounds in the neonatal and pediatric populations is essential. In addition to an evaluation of currently marketed wound care dressings and products used in the adult population, newer wound care technologies should also be evaluated for use in neonates and children. In addition, further investigation of the specific pathophysiology of wound healing in neonates and children is indicated to promote the development of wound care dressings and products with specific applications in these populations. SCOPE AND SIGNIFICANCEGiven the lack of consensus on the optimal strategies for common wound care management issues in the neonatal and pediatric populations and the large number of wound care products on the market today, it can be challenging to make informed decisions regarding wound care in these populations. A comprehensive review of the literature on the following specific areas of focus: pressure ulcers, surgical wounds, epidermal stripping, intravenous extravasation injuries, moisture-associated skin damage (MASD), and use of negative-pressure wound therapy (NPWT) is presented, along with management recommendations based on the clinical experience of the authors.

show abstract

Section: Dressings and Products In Pediatric Wound Carementioning

confidence: 96%

Dressings and Products in Pediatric Wound Care

King

Stellar

Blevins

et al. 2014

Advances in Wound Care

View full text Add to dashboard Cite

show abstract

“…), malnütrisyon ile birlikte onkolojik problemler ve malnütrisyona götü-ren diğer klinik durumlar (kronik böbrek yetmezliği, kistik fibrozis, metabolik sorunlar, HIV gibi kronik enfeksiyonlar, kardiyak hastalıklar, kısa barsak sendromu ve Crohn hastalığı gibi)'dır. [1][2][3] İn-giltere'de yapılan bir araştırmada, her yıl 18 yaş altı 11.000 çocuğa gastrostomi tüpü yerleştirildiği belirlenmiştir. 4 Yapılan diğer bir çalışmada ise 2003-2010 yılları arasında 0-18 yaş dönemi 952 çocuk incelenmiş ve bu çocukların %35,8'inin gastrostomi yöntemi ile beslendiği belirlenmiştir.…”

Section: Gastrostomi Tüpü Ile Beslenen çOcuklarınunclassified

“…2,6,7 Goldberg ve ark.nın, yapmış olduğu çalışmada, 94 çocuk iki yıl süreyle gastrostomi komplikasyonları açısından prospektif olarak incelenmiş ve hastaların %37'sinde enfeksiyon, %68'inde ise granülasyon dokusu sık görülen komplikasyonlar olarak belirlenmiştir. 3 Gastrostomi tüpü ile beslenen çocuklarda tüp tıkanması, enfeksiyon, granülasyon dokusu gibi sık görülen komplikasyonların oluşmasında evde verilen bakımın önemli olduğu ve bu minör komplikasyonların önlenebilir olduğu belirtilmektedir. 1,3 Ailelerin bilgi eksikliği ve sağlık personeli tarafın-dan yeterli taburculuk eğitimi alamaması ile aileler evde gastrostomi bakımında problem yaşamakta ve tüp ile ilgili sık görülen minör komplikasyonlar oluşabilmektedir.…”

Section: Gastrostomi Tüpü Ile Beslenen çOcuklarınunclassified

“…3 Gastrostomi tüpü ile beslenen çocuklarda tüp tıkanması, enfeksiyon, granülasyon dokusu gibi sık görülen komplikasyonların oluşmasında evde verilen bakımın önemli olduğu ve bu minör komplikasyonların önlenebilir olduğu belirtilmektedir. 1,3 Ailelerin bilgi eksikliği ve sağlık personeli tarafın-dan yeterli taburculuk eğitimi alamaması ile aileler evde gastrostomi bakımında problem yaşamakta ve tüp ile ilgili sık görülen minör komplikasyonlar oluşabilmektedir. 1,9 Yapılan bir çalışmada, aileler sağlık personeli tarafından taburculuk esnasında yeterli bilgilendirilmediklerini ve bu nedenle evde doğru bakım yolunu izleme ve hastalık yöneti-minde problem yaşadıklarını bildirmişlerdir.…”

Section: Gastrostomi Tüpü Ile Beslenen çOcuklarınunclassified

“…İhsan Doğramacı Çocuk Hastanesi Gastroenteroloji Polikliniğinde çalışan hekimlerin tümünden uzman görüşü alınarak yeniden düzen-lenip son hâli oluşturulmuştur. [1][2][3][4][5][6][7][8][9][10][11] Anket soruları, ebeveynlerin bakımla ilgili davranışlarını değer-lendirmeye yönelik soruları içermektedir. Bu form, gastrostomi ile beslenen çocukların ve ebeveynlerinin tanıtıcı özelliklerine, çocuğun hastalığa iliş-kin bilgilerine, ebeveynlerin beslenme, ilaç uygulama davranışları ve pansuman uygulama davranışlarına yönelik bilgilere ulaşılmasını sağlayan toplam 32 sorudan oluşmaktadır.…”

Section: Gastrostomi Tüpü Ile Beslenen çOcuklarınunclassified

See 2 more Smart Citations

Care Related Behaviors of Parents of Children Fed with Gastrostomy Tube at Home

Pars¹

2016

Turkiye Klinikleri J Nurs Sci

View full text Add to dashboard Cite

Everything the nurse practitioner should know about pediatric feeding tubes

Hannah

John

2013

Journal of the American Association of Nurse Practitioners

View full text Add to dashboard Cite

Purpose To provide an overview of the current feeding tubes in use in the pediatric population including feeding tube complications, and specific guidance for patients at the initiation, throughout the use of, and at the discontinuation of tube feeding. Data sources A review of the literature was performed using multiple databases including PubMed, CINAHL, Ovid Medline, and Cochrane Library. Key words used included pediatric gastrostomy (G) tubes, nasogastric (NG) tubes, gastrojejunostomy (GJ) tubes, enteral access, and nurse practitioner (NP). Conclusions Any child who cannot obtain nutrition orally is a candidate for enteral feeding tube access. Tube feeding is the recommended care guideline for children that are undernourished or unable to safely take‐in oral nutrition. Tube feeding has been known to improve health‐related quality of life. There are a number of different forms of feeding tubes that can be used in children, including NG, orogastric, G, and GJ tubes. Implications for practice Children are being sent home regularly with enteral feeding tube access and NPs will encounter these patients in everyday practice. It is important that NPs know the risks and benefits of tube feeding as well as the types of tubes currently in use and their indications, advantages, disadvantages, and complications.

show abstract

A Descriptive Study of Complications of Gastrostomy Tubes in Children

Cited by 40 publications

References 7 publications

Dressings and Products in Pediatric Wound Care

Dressings and Products in Pediatric Wound Care

Care Related Behaviors of Parents of Children Fed with Gastrostomy Tube at Home

Everything the nurse practitioner should know about pediatric feeding tubes

Contact Info

Product

Resources

About