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Gastrostomy management

A gastrostomy is a feeding tube that is inserted directly into the stomach either surgically under direct vision (open or laproscopic), endoscopically (with a camera), or radiologically (x-ray guidance). A gastrostomy tube allows the delivery of supplemental nutrition and medications directly into the stomach. It also provides a mechanism to drain gastric contents if required. In order for gastrostomy feeding to be successful the child or young person must have a functioning gastrointestinal tract.

Bowel incontinence

This page from Great Ormond Street Hospital (GOSH) explains why bowel incontinence (encopresis or soiling) can occur in toilet-trained children and young people. It also gives suggestions for treatment and strategies to try at home to improve the situation.