Enteral feeding in neurologically impaired children with gastroesophageal reflux: Nissen fundoplication and gastrostomy tube placement versus percutaneous gastrojejunostomy.
Parents or caregivers of neurologically impaired children with gastroesophageal reflux who require enteral nutrition are often faced with the option of having their child undergo an antireflux surgery and placement of a gastrostomy tube or have a percutaneous gastrojejunostomy tube placed under fluoroscopic guidance. It is important that nurses have an understanding of these procedures and their associated risks and benefits as well as knowledge of the impact each might have on the daily life and care of these children to help support families during this decision-making process.
Veenker
Erin
E
University of Pennsylvania School of Nursing, Philadelphia, PA 19104-6096, USA. eveenker@gmail.com
D002648:Child; D003657:Decision Making; D004750:Enteral Nutrition / Q000379:methods*; D004868:Equipment Failure; D005471:Fluoroscopy; D018662:Fundoplication / Q000009:adverse effects / Q000379:methods* / Q000451:nursing; D005764:Gastroesophageal Reflux / Q000451:nursing / Q000601:surgery*; D005773:Gastroscopy; D005774:Gastrostomy / Q000009:adverse effects / Q000379:methods* / Q000451:nursing; D006801:Humans; D007582:Jejunostomy / Q000009:adverse effects / Q000379:methods* / Q000451:nursing; D007902:Length of Stay; D009730:Nursing Assessment; D010290:Parents / Q000193:education / Q000523:psychology; D010371:Pediatric Nursing; D012307:Risk Factors; D012944:Social Support; D016896:Treatment Outcome