167-1042 / Patient oriented guidelines for the adminstration of enteral nutrition through tube or button gastrostomy

GOP Information
Organisation sharing the GOP
Related practices from PaSQ database
Senpe:Spanish Society of Parenteral and Enteral Nutrition


Patient empowerment
Clinical guidelines or pathways
Patient education
Patient involvement
GOP Description
Implementation level
Clinical settings
Clinical Nutrition Units
To provide a guide for pediatric patients and relatives and health care professionals

Our objectives were:
– to provide basic information of the different concepts and procedures that are required to carry an enteral nutrition through this route.
-routes of administration.
-necessary material.
-mode of administration.
-most frequent complications

Petiatric patients and relatives, healthcare professionals
The Group of standardization and protocols of the Spanish Society of Parenteral and Enteral Nutrition(SENPE) started up the elaboration of a guide to clinical practice of Pediatrics enteral nutrition. After determining the aspects that the document should include, members of different professions were involved in the Group. The components of groups after conducting an exhaustive review of the literature and taking into account its own practice, drafted a document that was submitted to the consideration of the rest of the group to the drafting of a consensus text. Put special attention to make it record of the evidence when they existed. Later they referred to a multidisciplinary group of reviewers, discussed by the group or not to incorporate new suggestions and requested the support of the Spanish society of Gastroenterology, Hepatology and Pediatric nutrition (SEGHNP), of the Spanish society of Pediatric Surgery and of the Spanish society of pediatric nursing.
Disclosure of material have been hanging the document in digital format on the web of SENPE and SEGHNP and spreading it in the version paper by lab sponsored issue between gastroenterologists pediatricians and other professional. A digital version of the SENPE page has been enabled a link to fill by persons who have agreed to it.
Timeframe implementation
6 mo.
Implementation tools available
Printed and electronic material that can be downloaded from our website
User’s survey
Implementation cost
We cannot tell the exact costs, but we have spent a lot of time of work.
Printed material and distribution were supported by Nestle Nutrition
Method used to measure the results
We designed a survey to ask people who are unloading the document, but it has had little success: we have only received 5 surveys.

To evaluate it, we could design a little survey for parents and staff of the hospitals until they know the documents and evaluate them at 6 months but we didn’t yet

Not available yet but according to feedback it is very useful for usual management
Analysis of the results
Not yet available.
Yet we don’t have evaluated this survey. In addition it is recommended to all parents of children with home enteral nutrition: these, verbally, inform us about the usefulness of the guidelines. The document has been endorsed by SENPE, AEP (Spanish Association of Paediatrics), SEGHNP (Spanish society of Gastroenterology, Hepatology and Pediatric nutrition) and NADYA group.
In the future this document should be reviewed and updated periodically.
Implementation barriers
Did you find implementation barriers?
Please describe implementation barriers
There is no specified text here
Describe the strategies used to overcome the barriers (If needed)
There is no specified text here
Other information
Other information about the GOP that you would like to add (Link or attached document)

L Gómez López, C Pedrón Giner, C Martínez Costa. Guía para la administración y los cuidados de la nutrición enteral a través de sonda o botón de gastrostomía. Barcelona: Glosa SL. 2013. ISBN: 978-84-7429-589-4.

Pedrón-Giner C, Martínez-Costa C, Navas-López VM, Gómez-López L, Redecillas-Ferrero S, Moreno-Villares JM, Benlloch-Sánchez C, Blasco-Alonso J, García-Alcolea B, Gómez-Fernández B, Ladero-Morales M, Moráis-López A, Rosell-Camps A. Consensus on paediatric enteral nutrition access: a document approved by SENPE/SEGHNP/ANECIPN/SECP”. Nutr Hosp 2011; 26(1):1-15.
Pedrón Giner C, Benlloch Sánchez C, Blasco Alonso J, García Alcolea B, Gómez Fernández B, Gómez López L, Ladero Morales M¸ Martínez Costa C, Moráis López A, Moreno Villares JM, Navas López JM, Redecillas Ferrero S, Rosell Camps A. Grupo de estandarización de la SENPE. “Documento de consenso SENPE/SEGHNP/ANECIPN/SECP sobre vías de acceso en nutrición enteral pediátrica”. Nutr Hosp Suplementos 2011;4(1):1-40.