This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article can also be purchased.
While gastroesophageal reflux (GER) is usually a benign condition in healthy children, in neurologically impaired children, particularly those with swallowing difficulties, it can lead to significant problems such as malnutrition and recurrent respiratory infections. Surgical fundoplication accompanied by a feeding gastrostomy has become the favored treatment of GER among such children despite a significant risk of post-operative morbidity, mortality, and recurrence of symptoms.1 Accordingly, Bianchi2 proposed esophagogastric dissociation (EGD) as an alternative intervention for such children for whom gastrostomy feeding was …
Individual Login
Institutional Login
You may be able to gain access using your login credentials for your institution. Contact your librarian or administrator if you do not have a username and password.