Enteral Feeding in Neurologically Impaired Children with Gastroesophageal Reflux: Nissen Fundoplication and Gastrostomy Tube Placement Versus Percutaneous Gastrojejunostomy

Parents or caregivers of neurologically impaired children with gastroesophageal reflux who require enteral nutrition are often faced with the option of having their child undergo an antireflux surgery and placement of a gastrostomy tube or have a percutaneous gastrojejunostomy tube placed under fluoroscopic guidance. It is important that nurses have an understanding of these procedures and their associated risks and benefits as well as knowledge of the impact each might have on the daily life and care of these children to help support families during this decision-making process.

Key words: Gastroesophagel reflux, Fundoplication, Percutaneous gastrojejunostomy, Enteral feeding, Neurologic impairment