Long-term outcome and efficiency of symptom-selective approach to assess gastroesophageal reflux prior to gastrostomy in neurologically impaired children

Retrospective study of 109 neurologically impaired children demonstrates that symptom-selective screening for gastroesophageal reflux before gastrostomy is as safe as routine screening while reducing unnecessary testing by 50% and concurrent fundoplication procedures by 60%, with no increase in post-operative complications over 2+ years follow-up.