Gastrostomy Feeding and Gastroesophageal Reflux

There are several indications for gastrostomy tube insertion in pediatrics, and the commonest is to overcome oral-motor impairment and feeding difficulties. Insertion of a PEG feeding tube carries with it a relatively low risk of complications, but gastroesophageal reflux may be problematic especially in children with neurological impairment. This chapter considers the causes, prevalence, diagnosis, and management both medical and surgical of gastroesophageal reflux in children who have received a gastrostomy feeding tube.