When is gastrostomy indicated in the treatment of pediatric gastroesophageal reflux disease (GERD)?

Updated: Mar 14, 2019
  • Author: Steven M Schwarz, MD, FAAP, FACN, AGAF; Chief Editor: Carmen Cuffari, MD  more...
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Answer

Observations related to the possible need for gastrostomy include the following:

  • Small gastric volumes, decreased compliance in infants, and a slow gastric emptying rate following the fundoplication procedure may necessitate a gastrostomy procedure to accompany a fundoplication

  • Patients who are neurologically impaired or who have an inability to tolerate feeds also need an accompanying gastrostomy


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