Author
Listed:
- Ashleigh Townley
- Joanne Wincentak
- Kim Krog
- Julia Schippke
- Shauna Kingsnorth
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.
Suggested Citation
Ashleigh Townley & Joanne Wincentak & Kim Krog & Julia Schippke & Shauna Kingsnorth, 2018.
"Paediatric gastrostomy stoma complications and treatments: A rapid scoping review,"
Journal of Clinical Nursing, John Wiley & Sons, vol. 27(7-8), pages 1369-1380, April.
Handle:
RePEc:wly:jocnur:v:27:y:2018:i:7-8:p:1369-1380
DOI: 10.1111/jocn.14233
Download full text from publisher
Corrections
All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:27:y:2018:i:7-8:p:1369-1380. See general information about how to correct material in RePEc.
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
We have no bibliographic references for this item. You can help adding them by using this form .
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .
Please note that corrections may take a couple of weeks to filter through
the various RePEc services.