Skip to main content

Enteral Feeding Devices and Ostomies

  • Chapter
  • First Online:
Pediatric Inflammatory Bowel Disease
  • 1552 Accesses

Abstract

This chapter discusses enteral feeding devices, gastrostomy and gastrojejunostomy, feeding teams, placement, care, and complications. Common complications include infection, tube migration, leakage, fistula formation, granulation tissue, and obstruction. Ostomy education and management is also discussed with a focus on patient education and placement prior to surgery as well as recognition and treatment of peristomal issues.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 199.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 259.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Gauderer MW, Ponsky JL, Izant Jr RJ. Gastrostomy without laparotomy: a percutaneous endoscopic technique. J Pediatr Surg. 1980;15:872–5.

    Article  PubMed  CAS  Google Scholar 

  2. Preshaw RM. A percutaneous method for inserting a feeding gastrostomy tube. Surg Gynecol Obstet. 1981;152:658–60.

    PubMed  CAS  Google Scholar 

  3. Khattak IU, Kimber C, Kiely EM, Spitz L. Percutaneous endoscopic gastrostomy in paediatric practice: complications and outcome. J Pediatr Surg. 1998;33:67–72.

    Article  PubMed  CAS  Google Scholar 

  4. Friedman JN, Ahmed S, Connolly B, Chait P, Mahant S. Complications associated with image-guided gastrostomy and gastrojejunostomy tubes in children. Pediatrics. 2004;114:458–61.

    Article  PubMed  Google Scholar 

  5. Antibiotic prophylaxis for gastrointestinal endoscopy. American Society for Gastrointestinal Endoscopy. Gastrointest Endosc 1995; 42:630–5.

    Google Scholar 

  6. Gossner L, Keymling J, Hahn EG, Ell C. Antibiotic prophylaxis in percutaneous endoscopic gastrostomy (PEG): a prospective randomized clinical trial. Endoscopy. 1999;31:119–24.

    Article  PubMed  CAS  Google Scholar 

  7. Klein S, Heare BR, Soloway RD. The “buried bumper syndrome”: a complication of percutaneous endoscopic gastrostomy. Am J Gastroenterol. 1990;85:448–51.

    PubMed  CAS  Google Scholar 

  8. El-Rifai N, Michaud L, Mention K, et al. Persistence of gastrocutaneous fistula after removal of gastrostomy tubes in children: prevalence and associated factors. Endoscopy. 2004;36:700–4.

    Article  PubMed  CAS  Google Scholar 

  9. Gonzalez-Ojeda A, Avalos-Gonzalez J, Mucino-Hernandez MI, et al. Fibrin glue as adjuvant treatment for gastrocutaneous fistula after gastrostomy tube removal. Endoscopy. 2004;36: 337–41.

    Article  PubMed  CAS  Google Scholar 

  10. Goldberg E, Kaye R, Yaworski J, Liacouras C. Gastrostomy tubes: facts, fallacies, fistulas, and false tracts. Gastroenterol Nurs. 2005;28:485–93. quiz 493–4.

    Article  PubMed  Google Scholar 

  11. Mandrea E. Topical diflorasone ointment for treatment of recalcitrant, excessive granulation tissue. Dermatol Surg. 1998;24: 1409–10.

    Article  PubMed  CAS  Google Scholar 

  12. Piwonka MA, Merino JM. A multidimensional modeling of predictors influencing the adjustment to a colostomy. J Wound Ostomy Continence Nurs. 1999;26:298–305.

    PubMed  CAS  Google Scholar 

  13. Bass EM, Del Pino A, Tan A, Pearl RK, Orsay CP, Abcarian H. Does preoperative stoma marking and education by the enterostomal therapist affect outcome? Dis Colon Rectum. 1997;40:440–2.

    Article  PubMed  CAS  Google Scholar 

  14. Erwin-Toth P, Barrett P. Stoma site marking: a primer. Ostomy Wound Manage. 1997;43(18–22):24–5.

    Google Scholar 

  15. Erwin-Toth P. Ostomy pearls: a concise guide to stoma siting, pouching systems, patient education and more. Adv Skin Wound Care. 2003;16:146–52.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Susan N. Peck MSN, CRNP .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer Science+Business Media New York

About this chapter

Cite this chapter

Peck, S.N. (2013). Enteral Feeding Devices and Ostomies. In: Mamula, P., Markowitz, J., Baldassano, R. (eds) Pediatric Inflammatory Bowel Disease. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-5061-0_40

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-5061-0_40

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-5060-3

  • Online ISBN: 978-1-4614-5061-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics