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.
Clinical outcomes are broadly agreed, measurable changes in health or quality of life that result from our care. Constant review of our clinical outcomes establishes standards against which to continuously improve all aspects of our practice.
Clinical outcomes are measurable changes in health, function or quality of life that result from our care. Constant review of our clinical outcomes establishes standards against which to continuously improve all aspects of our practice.
This information sheet explains the first phase of the assessment process to diagnose lower gastrointestinal dysmotility problems and what to expect when your child comes to Great Ormond Street Hospital (GOSH) for assessment.
A gastrostomy is a surgical opening through the abdomen into the stomach. A feeding device is inserted through this opening. This allows your child to be fed directly into their stomach, bypassing the mouth and throat.
We know that there are occasions when you want to ring us to ask us a question and understand that it can be difficult to know who best to call. We have put together the following list to help you to direct your questions to the right member of the Specialist Neonatal and Paediatric Surgery team.
Corticosteroids are hormonal substances that are produced naturally in the body by the adrenal glands (which are just above each kidney) and by the reproductive organs. There are many different types of corticosteroids and they have different effects on the body. This information sheet from Great Ormond Street Hospital (GOSH) explains about the use of corticosteroids to treat immune-mediated neurological conditions, how they are given and some of the possible side effects. Each person reacts differently to medicines, so your child will not necessarily suffer from the side effects mentioned. If you have any questions or concerns, please speak to your doctor, nurse or pharmacist.
This guideline is intended to guide and facilitate the care of patients under the care of the clinical teams at Great Ormond Street Hospital for Children NHS Trust (GOSH). The guidance contained herein is not intended to replace individual assessment and personalised treatment of the patient.
Enteral feeding is a very useful method of ensuring adequate intake of fluid and nutrients in patients who, for a variety of reasons, are unable to use the oral route, or are unable to take sufficient nutrients to maintain growth and development.
The purpose of this clinical guideline is to support staff with the recognition, prevention and treatment of refeeding syndrome in children and young people who have experienced a period of insufficient nutrition.