Dr Jui Mandke

Specialty Stoma Clinic

Caring for a child with a stoma can feel overwhelming at first. With the right guidance, training, and support, families quickly gain confidence in day-to-day care.

What is a Stoma?

A stoma is a small, surgically created opening on the surface of the abdomen. It allows stool or urine, or in some cases provides a route for feeding, when the normal pathway is not possible.

A stoma may be temporary or permanent, depending on the child’s condition.

Types of Stoma

Gastrostomy

A gastrostomy is an opening made from the stomach to the surface of the abdomen to provide nutrition directly into the stomach.

It is commonly advised when:

A child is unable to gain weight with oral feeding

There is swallowing difficulty

There is severe gastro-esophageal reflux

Long-term nutritional support is needed

It may sometimes be performed along with a fundoplication (a procedure that reduces severe reflux).

Types of Gastrostomy

Feeding Tube (long tube): A tube that protrudes outside the abdomen

Gastrostomy Button: A low-profile device that sits flush with the skin and is opened only during feeding

We prefer using a gastrostomy button in most cases, as it is more comfortable, discreet, and has a lower risk of blockage or accidental dislodgement.

Intestinal Stoma

An intestinal stoma allows stool to pass through an opening on the abdomen.

Jejunostomy

Opening from the jejunum (part of the small intestine), usually for feeding purposes.

Ileostomy

Opening from the ileum (small intestine) through which stools pass.

Colostomy

Opening from the colon (large intestine) through which stools pass.

These may be required in conditions such as:

Absent anus (anorectal malformations)

Hirschsprung disease

Intestinal perforation (hole in the intestine)

Severe intestinal infection

Other congenital or acquired intestinal conditions

What We Offer at Our Stoma Care Clinic

Parent education and hands-on training

Appliance selection guidance

Skin care advice

Managing leaks or blockages

Nutritional counselling

Preparation for stoma closure (if temporary)

Emotional support and reassurance

Our goal is to help families feel confident, supported, and empowered in caring for their child.

Expert Stoma Clinic Care

Get in touch today

What We Offer at Our Stoma Care Clinic

Parent education and hands-on training

Appliance selection guidance

Skin care advice

Managing leaks or blockages

Nutritional counselling

Preparation for stoma closure (if temporary)

Emotional support and reassurance

Our goal is to help families feel confident, supported, and empowered in caring for their child.