A comparative longitudinal study of gastrostomy devices in children


A comparative longitudinal study of gastrostomy devices in children


Thorne SE; Radford MJ


Western Journal Of Nursing Research




Child; Female; Humans; Male; Home Nursing; Consumer Satisfaction; adolescent; Preschool; infant; Nutritional Failure; Nutrition Physiology; Postoperative Complications; Enteral Nutrition/adverse effects/instrumentation/nursing; Gastrostomy/nursing/rehabilitation


Long-term gastrostomy is a predictable intervention to ameliorate the effects of feeding and swallowing difficulties among children with severe spastic cerebral palsy. The evidence evaluating the efficacy and implications of the available gastrostomy devices in common use has focused primarily on the operative phase, ignoring the long-term effects that may be critical from a nurse's or family caregiver's point of view. In this study, the authors describe a sample of children with gastrostomy, comparing skin-level and tube devices on measures of nutritional outcome, complications, and caregiver satisfaction. In contrast to manufacturer's claims about the superiority of skin-level devices, the results presented here reveal few differences between the devices. The authors conclude, therefore, that device selection should be determined by individualized comprehensive assessment of the child and family circumstances.


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Thorne SE; Radford MJ, “A comparative longitudinal study of gastrostomy devices in children,” Pediatric Palliative Care Library, accessed May 26, 2024, https://pedpalascnetlibrary.omeka.net/items/show/11867.