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The Negative Impacts of Gastrostomy Feeding on Oral Feeding in Children - Term Paper Example

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The "The Negative Impacts of Gastrostomy Feeding on Oral Feeding in Children" paper identifies whether the introduction of gastrostomy feeding has any (potentially) negative impacts on oral feeding in children. If so, what strategies may minimize the risk of negative impacts?…
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The Negative Impacts of Gastrostomy Feeding on Oral Feeding in Children
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Download file to see previous pages Some of the indications for a gastrostomy include congenital anomalies like esophageal fistula, tracheoesophageal fistula, cleft lip and palate, intestinal atresia, and abdominal wall defects.

Other conditions include Down syndrome, failure to thrive, gastroesophageal reflux disease, cystic fibrosis, organ transplants, cancer, congenital heart defect, and infants with cerebral palsy and encephalopathy (Burd & Burd, 2003)

Nasogastric tube feeding may be used for the short-term but there are numerous limitations in its long-term use including nasal discomfort, irritation or penetration of the larynx, recurrent pulmonary aspiration, blockage or displacement of the tube, and decreased survival rates. Therefore, a gastrostomy may be considered as an alternative whenever there is a severe oral-motor dysfunction along with other factors like inadequate weight gain, and/or unsafe swallow, and for the long-term period.

Gastrostomy is performed surgically, laparoscopically, or endoscopically (percutaneous endoscopic gastrostomy [PEG]). However, a gastrostomy is not without its complications. The aim of this study is to asses the potential negative impact of gastrostomy feeding in children and the strategies employed to minimize the risk of any such negative impacts.

Long-term follow-up studies have shown that gastrostomy is both cost-effective and efficient but nevertheless, complications have been described in up to 26% of cases. Gastro-esophageal reflux (GOR) secondary to gastrostomy tube placement is the most significant complication (Sullivan, 1999.)

Eating and drinking difficulties are frequently present in children with cerebral palsy (CP). These difficulties are mainly attributed to problems with oro-pharyngeal control, oesophageal motility, related gastro-oesophageal reflux (GOR), and the high risk of aspiration of food/fluid into the lungs (Sleigh & Brocklehurst, 2004)

Some of the resultant health problems that these children have are undernutrition, oesophagitis with bleeding and pain, recurrent chest infections, and progressive lung disease. ...Download file to see next pagesRead More
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