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7/30/2019 Pp Gastrostomy
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WHAT IS GASTROSTOMY???
Stomach
Port (outside the body)
G-tube ends in the stomach
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A gastrostomy (stoma) is a surgical
opening made through the skin of
the abdomen (belly) and into the
stomach. A feeding tube (called agastrostomy tube or G-tube) is
placed through this opening.
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The gastrostomy need for any of the
reasons below:
Cannot swallow safely
Blockage of the esophagus
Abnormal function of the stomach
Cannot take enough food bymouth
Neurologic disorders: coma
Not eating (anorexia), dysphagia,
and should not be eating (post-oral surgery / neck)
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continue
Temporary procedure to reduce
discomfort after surgery
Gastrectomi and vagotomy
Procedure settled / permanent
esophageal obstruction due to
unresectable tumor
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Gastrostomy site care
Cleaning the gastrostomy site
The stoma, or opening in the skin, healsvery slowly. It may take several months.
Stabilizing the tube can help healing.Careful skin care is essential. Until the siteis healed, the skin around your childsstoma needs to be cleaned twice a day,such as with the bath, before a feeding,
and as needed if drainage occurs. Oncethe site is healed, it can be cleaned oncea day, and as needed.
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The procedure
1. Wash your hands well with soap, using
friction.
2. Have all supplies together, ready to use:
cotton swabs such as Q-Tips
mild, pH-balanced soap and water
washcloth and dry towel
gauze drainage sponges (if applicable)
3. Remove the old gauze, if present
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continue
4. Check for drainage. A smear of blood or a
bit of clear yellow drainage is normal. If
drainage has increased, is cloudy, yellow or
green, or smells bad, call the doctor.
5. Gently clean around the gastrostomy site withwater and mild, pHbalanced, soap, rolling a
cotton, swab around it to remove any
drainage. Clean the stabilizer and the G-tube
too. Rinse and dry the area well.
6. Check the skin around the stoma. If there isincreased redness or skin growth, call the doctor.
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continue
7. If there is a little bleeding or drainage at thesite, place gauze under the bumper. Changeit as needed to keep the site dry.
8. Clean the feeding port by vigorously swishingit in warm soapy water. Rinse with clean
water.9. To keep the tube from being pulled, wrap a
piece of tape around tube, leaving a tapetag. Use a safety pin to pin the tag to thechilds clothing. Wrap a piece of tape aroundthe clasp of the safety pin to keep it from
popping open. (Your childs health care teammay recommend another type of tubestabilizer.)
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Complications of gastrostomy tube feeding include:
Tube dislodgement
Gastrostomy tube blockage
Infection
Vomiting and diarrhoea
Medications
Aspiration
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Reference
pdfsb.com/gastrostomy
http://www.agedcarer.com.au/topic/ag
ed-care-tips/nutrition-exercise-
fitness/complications-gastrostomy-tube-feeding
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THANK YOU