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HK J Paediatr (New Series)
Vol 11. No. 3,
2006
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HK J Paediatr (New Series) 2006;11:242-245
Other Articles
Management of Gastrostomy Sites in Institutionalised Children with Severe Neurological Impairment
KM Cheung, CH Lo, PWT Tse, KH Chan Department of Paediatrics, Caritas Medical Centre, 111 Wing Hong Street, Shamshuipo, Kowloon, Hong Kong, China KM Cheung ( 張嘉明 ) MBChB, MRCP, FHKAM KH Chan ( 陳國興 ) FHKAM(Paed), FRCP Developmental Disabilities Unit, Department of Paediatrics, Caritas Medical Centre, 111 Wing Hong Street, Shamshuipo, Kowloon, Hong Kong, China CH Lo ( 盧翠霞 ) BSc(Nursing) PWT Tse ( 謝韻婷 ) MRCP, FHKAM(Paed) Correspondence to: Dr KM Cheung Received August 12, 2005
Abstract Stoma complications were common in developmental delayed children on gastrostomy feeding. Fifty-one children were on gastrostomy feeding in the Development Disabilities Unit in Caritas Medical Centre. In 2001, 8.3% had stoma erosions and 25% had granuloma and 33% had inflammations around the stoma. After the pilot of a monitor program for gastrostomy care to all the caretakers, 13.9% of patients had stoma erosions, 30% had stoma granuloma and 2.3% had inflamed stoma. The frequency of stoma complications decreased further (6.9% had stoma erosions, 6.9% had stoma granuloma and 9.3% had inflamed stoma) seven months after the program had been carried out. Our results suggested that local complications of gastrostomy stoma can be reduced by providing education to the caretakers together with frequent monitor. Keyword : Complications; Gastrostomy; Neurological impairment; Stoma Abstract in Chinese
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