Gastrostomy Care

nursing-care-services | Thu 18 Apr 2024 | No Comment

Gastrostomy Care

Gastrostomy Care

A gastrostomy is the creation of an artificial external opening in the stomach to provide nutrition or reduce stomach strain. This usually involves making an incision in the patient's upper abdomen as part of a formal surgery. When this surgery was first developed more than a century before him, it was performed by open surgery using the Stamm technique. This can be performed by a surgical approach, a percutaneous approach with radiological intervention, percutaneous endoscopic gastrostomy (PEG), or percutaneous ultrasound gastrostomy.

Why might a gastrostomy be suggested?

A gastrostomy is useful for those who need long-term nutritional support or who need additional nutrients for growth and development. Some children and adolescents have neurological (nervous system) disorders that affect swallowing and make them more likely to aspirate food (aspiration). Some people also have gastrointestinal (digestive) disorders that affect how food travels through the esophagus (esophagus) to the stomach. Giving food directly to the stomach can help manage these problems. In addition to providing nutrients and medications, gastrostomy allows gas to be "evacuated" from the stomach to reduce gas and empty stomach contents.

Different types of feeding device

There are three main types of feeding devices that are inserted into the Tiwari Healthcare gastrostomy opening in noida. Other locations may use a different type or brand, and care principles are generally similar, but specific type and brand advice should be sought from the manufacturer or expert. The first device inserted at the new gastrostomy site is often called the primary device. This demonstrates the importance of careful management until the stoma is healed and established and the first appliance change is performed.

Primary devices

The first and most commonly used device at Tiwari Healthcare is called Freka� PEG. It consists of a flexible polyurethane tube that is held in the stomach by a silicone disc. A triangular silicone retainer holds it in place on the abdominal skin. The free end consists of a port with a closed cap, to which a "feeding set" is connected when feeding.

Secondary devices

The primary device typically stays in place for 6 weeks (Malecot�), 6 months (Mic-Key� button), or 6 months to 2 years (Freka� PEG). If the Mic-Key� button is not the primary device, it is usually preferred as a secondary device as it is held in the stomach with the balloon. There is an opening on the outside of the button to fill the balloon with water and inflate it.

Are there any alternatives to having a gastrostomy?

The main alternative is to continue using a feeding tube for feeding. Some children and adolescents have problems with the appearance of the tube and are reluctant to go through the procedure of inserting a new NG tube, which can be very painful or traumatic. There is also the risk of tube feeding into the lungs, which makes nocturnal feeding by this route impossible in some areas.

Creating the gastrostomy and inserting the first device

A gastrostomy opening is always made under general anesthesia. A variety of methods are used at Tiwari Healthcare in Noida. We'll let you know which method is best for you, depending on your child's weight, height, underlying medical conditions, and whether they've had previous abdominal surgery. A gastrostomy may be created during another surgery. The most common surgery is called fundoplication and is intended to reduce gastroesophageal reflux.