Cuidados domiciliares com gastrostomia: uma revisão narrativa

Natália Girardi Alves; Taisa Valques Lorencete; Lia Yoneka Toda; Jani Bolsonello; Regiane da Silva Macuch; Karina Miura Da Costa

doi:10.17765/2176-9192.2025v27e13772

Authors

Natália Girardi Alves UniCesumar https://orcid.org/0009-0006-3516-439X
Taisa Valques Lorencete UniCesumar https://orcid.org/0000-0002-7532-3096
Lia Yoneka Toda UniCesumar https://orcid.org/0000-0002-0849-4303
Jani Bolsonello UniCesumar https://orcid.org/0000-0002-1014-2577
Regiane da Silva Macuch Universidade Cesumar https://orcid.org/0000-0002-2277-319X
Karina Miura Da Costa UniCesumar

DOI:

https://doi.org/10.17765/2176-9192.2025v27e13772

Keywords:

Chronic Diseases, Enteral Nutrition, Gastrostomy, Health Education, Quality of Life

Abstract

This article is a narrative review with the primary objective of developing a descriptive study on the home care required by patients living with a gastrostomy. To better illustrate this context, the types of gastrostomy tubes are described, along with the most common complications that may arise. This facilitates early identification and provides guidance for caregivers and family members on how to respond appropriately to each situation. The literature search for this narrative review was conducted in databases such as PubMed, Scopus, Google Scholar, and Web of Science. The analyzed studies highlight the fragility of health education regarding both preoperative and postoperative care, as well as the limited understanding among caregivers about the importance of gastrostomy in improving the quality of life for patients who are unable to maintain adequate long-term oral intake of nutrition and hydration. Additionally, the studies identified frequent difficulties in handling the devices, which often generate insecurity and anxiety in adapting to this new reality within the home environment. In this context, the present review seeks to address a significant gap by offering a high-quality educational booklet that provides essential guidance to support caregivers, family members, and healthcare professionals. This resource aims to answer common questions and help manage challenges related to gastrostomy care, ultimately promoting greater autonomy and safety in the daily lives of those caring for patients with a gastrostomy.

Author Biographies

Natália Girardi Alves, UniCesumar

Graduanda em Medicina pelo Centro de Ensino Superior de Maringá (CESUMAR), Brasil.

Taisa Valques Lorencete, UniCesumar

Graduada em Biomedicina com habilitação em Análises Clínicas e Diagnóstico por Imagem pela Unicesumar (2007), especialista em Fisiopatologia Humana (2009) pela UEM, mestre em Promoção à Saúde pela Unicesumar (2013). Acadêmica de Medicina na Unicesumar e pós-graduanda em Neurologia e Saúde Mental na Medicina Funcional Integrativa.

Lia Yoneka Toda, UniCesumar

Graduada em Medicina pela Universidade Estadual de Maringá (2001), com Residência Médica em Cirurgia Geral pelo Hospital Regional de Maringá e Residência Médica em Cirurgia Pediátrica pelo Hospital Pequeno Príncipe, Curitiba.

Jani Bolsonello, UniCesumar

Doutoranda em Promoção da Saúde, Mestre em Gestão do Conhecimento nas Organizações e Pesquisadora, pela CAPES, no Programa de Pós-Graduação Stricto Sensu da Universidade de Maringá – Unicesumar. Graduada em Pedagogia pelo Centro Universitário Claretiano – Cuiabá – MT, com especialização em Psicopedagogia Institucional, Clínica e Educação Infantil pela Faculdade Venda Nova do Imigrante – Faveni/SP.

Regiane da Silva Macuch, Universidade Cesumar

Doutora em Ciências da Educação. Professora na Graduação de Psicologia e no Programa de Pós-Graduação em Promoção da Saúde - Universidade Cesumar.

Karina Miura Da Costa, UniCesumar

Graduada em Medicina pela UNIOESTE (2009), com residências em Cirurgia Geral (ISCAL, 2013) e Cirurgia Pediátrica (UEL, 2017). Doutora em Ciências pela FMRP-USP (2020). Atua em Cirurgia Pediátrica no Hospital Municipal e Santa Casa de Maringá. Preceptora no internato de Medicina da UniCesumar, pesquisadora e coordenadora de grupo de pesquisa em saúde da criança.

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