22.08.2013 Views

Care of the Child with a Gastrostomy Tube

Care of the Child with a Gastrostomy Tube

Care of the Child with a Gastrostomy Tube

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Stoma: Leakage<br />

All gastrostomies leak some<br />

There are multiple causes<br />

<strong>of</strong> leakage including:<br />

Any increase in intraabdominal<br />

pressure:<br />

constipation, coughing,<br />

heavy breathing,<br />

ventilated kids, crying,<br />

vomiting, change in<br />

weight or abdominal girth<br />

Balloon has deflated<br />

Incorrect size, improper<br />

stabilization<br />

Underlying disorder like slow<br />

motility<br />

<strong>Tube</strong> displacement<br />

Poor wound healing<br />

Body structure: scoliosis<br />

Positioning<br />

Spasticity<br />

Inability to decompress<br />

stomach<br />

Feeding intolerance<br />

Recent illness/new medications

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