Swallowing difficulties, gastro-oesophageal reflux and pulmonary aspiration are all common among children with neurodevelopmental disabilities. They may result in poor nutrition and growth, lung disease, poor immune function, oesophageal pain, and social and emotional upheaval for child and family. Reviews of the benefits of gastrostomy have been inconclusive, with little attention being paid to psychosocial aspects.

A prospective case …