Paediatric gastrostomy stoma complications and treatments: A rapid scoping review

Ashleigh Townley, Joanne Wincentak, Kim Krog, Julia Schippke and Shauna Kingsnorth

Journal of Clinical Nursing, 2018, vol. 27, issue 7-8, 1369-1380

Abstract: Aims and objectives To provide a scoping review of the types of treatments used to address paediatric skin‐related stoma complications specific to infection, hypergranulation and gastric leakage, and explore their effectiveness and indications for use. Background Stoma‐related complications can be a common occurrence for children with gastrostomy (G) and gastrojejunostomy (GJ) tubes. Nurses require guidance to inform decision‐making of the broad spectrum of treatments used in clinical practice. Design A scoping review using a rapid review approach. Methods Working with a multidisciplinary health professional team, search terms were generated. A systematic search of CINAHL, MEDLINE and EMBASE databases was completed, coupled with an Internet search to identify relevant clinical practice guidelines and hand searching of citation lists. Eligible articles were peer‐reviewed English publications, focused on paediatric populations aged 18 years and under, dating from 2002–2016 and described complications and treatment approaches related to G‐ and GJ‐tube stomas. Pertinent information was extracted using a standardised template, and a narrative synthesis approach was used to analyse the data. Results Twenty‐five articles were included in this review. Study designs varied, and complication management was often a secondary focus. A broad spectrum of treatments was used to manage each complication type. There was a lack of consensus on lines of therapy; however, a stepwise approach was often used for complication management, particularly for infections. Conclusions The evidence on the comparative effectiveness of different treatment strategies of skin‐related gastrostomy stoma complications in paediatric practice is sparse. Current evidence is generally limited to expert opinions. Future studies examining efficacy of treatments and their indications for use with children are warranted. Relevance to clinical practice Effective management of skin‐related stoma complications is important to maintain health and wellness among children who rely on G‐ and GJ‐tubes for nutrition support.

Date: 2018
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
https://doi.org/10.1111/jocn.14233

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:wly:jocnur:v:27:y:2018:i:7-8:p:1369-1380

Access Statistics for this article

More articles in Journal of Clinical Nursing from John Wiley & Sons
Bibliographic data for series maintained by Wiley Content Delivery ().