The purpose of the present work is to report a case study on a malnourished 6 year old suffering from esophagus stenosis. As a methodological strategy data collection was performed through studies of medical charts and house visits. It was observed a lack of perception by the family regarding the dangers of having cleaning products within the reach of the child. The necessity of attendance of the health team (nurse, psychologist, doctor, social worker and nutritionist), guiding the mother with respect to special care with nutrition, care with the gastrotomy, medication, and domestic accident prevention, with advice on how to keep cleaning material.
esophagus stenosis; gastrostomy; pediatrics