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Enteral Feeding Devices and Ostomies

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Pediatric Inflammatory Bowel Disease

Abstract

Pediatric patients with inflammatory bowel disease (IBD) often suffer the consequences of malnutrition and growth failure. Enteral nutrition delivered either via nasogastric tube (NGT) feedings or gastrostomy tube (G-tube) provides an opportunity to improve and optimize nutrition as well as potentially serve as therapy for children with inflammatory bowel disease. In addition to requiring enteral access, IBD patients often require ostomy surgery--under both urgent and planned circumstances. In these cases, education regardig ostomy care and troubleshooting peristomal skin concners is crucial in aiding the child and family adapt. In this chapter, we will review the different enteral feeding device options and tips for troubleshooting complications. In addition, we will cover the essential elements of ostomy education, and outline common peristomal complications. A review of strategies to prevent and treat common peristomal problems will also be presented, including troubleshooting appliance pouching techniques for successful management and adaptation

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Author information

Authors and Affiliations

  1. Department of Nursing and General Surgery, The Children’s Hospital of Philadelphia, 34th Street and Civic Ctr. Blvd., Philadelphia, PA, 19104, USA

    Judith J. Stellar MSN, CRNP, PPCNP-BC, CWOCN

Authors
  1. Judith J. Stellar MSN, CRNP, PPCNP-BC, CWOCN
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Correspondence to Judith J. Stellar MSN, CRNP, PPCNP-BC, CWOCN .

Editor information

Editors and Affiliations

  1. Division of GI, Hepatology & Nutrition, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA

    Petar Mamula

  2. Division of GI, Hepatology & Nutrition, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA

    Andrew B. Grossman

  3. Division of GI, Hepatology & Nutrition, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA

    Robert N. Baldassano

  4. Division of GI, Hepatology & Nutrition, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA

    Judith R. Kelsen

  5. Division of Pediatric Gastroenterology & Nutrition, University of South Carolina School of Medicine - Greenville, Greenville, South Carolina, USA

    Jonathan E. Markowitz

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Stellar, J.J. (2017). Enteral Feeding Devices and Ostomies. In: Mamula, P., Grossman, A., Baldassano, R., Kelsen, J., Markowitz, J. (eds) Pediatric Inflammatory Bowel Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-49215-5_45

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  • DOI: https://doi.org/10.1007/978-3-319-49215-5_45

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-49213-1

  • Online ISBN: 978-3-319-49215-5

  • eBook Packages: MedicineMedicine (R0)

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