Cost-Effectiveness Analysis of the Surgical Management of Infants Less than One Year of Age with Feeding Difficulties

This prospective study evaluates the cost-effectiveness of three surgical approaches for managing feeding difficulties in infants under one year: gastrostomy alone, gastrostomy with fundoplication, and gastrojejunostomy. Results show that 86% of infants did well with gastrostomy alone, with significant improvement in GERD symptoms and quality of life at one-year follow-up.