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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.

Gastroscopy

This information from Great Ormond Street Hospital (GOSH) explains about the gastroscopy procedure, what it involves and what to expect when your child comes to GOSH for treatment. You may also hear the procedure called an oesophagogastroduodenoscopy or OGD.

Neuromedical

The neuromedical physiotherapy team at Great Ormond Street Hospital (GOSH) is made up of lots of specialties, including nephrology (problems with the kidneys), urology (problems with the bladder), dermatology (problems with the skin), endocrine (problems with hormones and growth), gastroenterology (problems with the stomach and digestion) and metabolic (problems with the body processing different substances).

Ketogenic diet

The ketogenic diet (KD) is a therapeutic diet, which has been shown to improve seizure control in patients with drug resistant epilepsy, and is used in some patients with metabolic conditions for example, glucose transporter type 1 deficiency syndrome (GLUT1) and pyruvate dehydrogenase deficiency (PDH).

Research and publications from the Psychological Medicine Service and National Tourette Syndrome Clinic

We have an ongoing programme of research, and you or your child may be invited to take part in a research project whilst under the care of the team. This is always entirely voluntary, and whether you choose to participate or not, your clinical care will not be affected. Any information gathered may be used anonymously for research purposes to improve our understanding and lead to better treatments for other children and families in the future.

Invasive monitoring (IM) and Stereo-electroencephalography (SEEG) for epilepsy surgery: nursing management

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.

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