Table 3—

Summary of evidence regarding preventative antireflux surgery at time of gastrostomy placement in neurologically impaired children

First author [Ref.]Study typePre-gastrostomy GOR excluded byPatientsPost-operative GORARS
Mollitt 83PUGI, scintigraphy and pH164 (25)#4 (25)
Jolley 84PpH96 (67)#3 (33)
Langer 85RUGI5022 (44)17 (34)
Wheatley 86PUGI and pH436 (14)#5 (12)
Heine 87PSymptoms, pH or biopsy308 (27)5 (17)
Isch 88RSymptoms, scintigraphy or UGI3911 (28)8 (20)
Sulaeman 89RpH225 (22)1 (5)
Puntis 90RSymptoms or pH2715 (56)2 (7)
Hament 91RpH593 (5)#
  • Data are presented as n or n (%). GOR: gastro-oesophageal reflux; ARS: antireflux surgery; P: prospective; UGI: upper gastrointestinal series; R: retrospective. #: post-operative GOR diagnosed by testing; : post-operative GOR diagnosed by symptoms.