{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T16:26:41Z","timestamp":1791822401524,"version":"4.3.4"},"reference-count":32,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2007,3,2]],"date-time":"2007-03-02T00:00:00Z","timestamp":1172793600000},"content-version":"vor","delay-in-days":305,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Develop Med Child Neuro"],"published-print":{"date-parts":[[2006,5]]},"abstract":"<jats:p>\n                    A prospective controlled study with repeated measures before and after surgery examined the medical, surgical, and health outcomes of gastrostomy for children with disabilities at a tertiary paediatric referral centre in the North Thames area, UK. Anthropometric measures included weight, mid\u2010upperarm and head circumference. Five\u2010day prospective food diaries were completed and data on physical health and surgical outcomes recorded. Seventy\u2010six children participated and underwent gastrostomy (44 males, 32 females; median age 3y 4mo, range 4mo\u201317y 5mo), and 35\/76 required an anti\u2010reflux procedure. Categories of disability were: cerebral palsy (32\/76), syndrome of chromosomal or other genetic origin (25\/76), slowly progressive degenerative disease (11\/76), and unconfirmed diagnosis (8\/76). Most children had gross motor difficulties (99%) and were non\u2010ambulant (83%). Oromotor problems were identified in 78% of children, 69% aspirated, and 65% were fed nasogastrically before surgery. The mean weight before surgery was \u20132.84 standard deviation score (SDS; SD 2.21, range \u20139.8 to 3.4). Two\u2010thirds of children achieved catchup growth postoperatively: weight\u2010for\u2010age (mean difference 0.51 SDS, 95% CI 0.23\u20130.79,\n                    <jats:italic>p<\/jats:italic>\n                    =0.001) and mid\u2010upper arm circumference (mean difference 1.12cm, 95% confidence interval 0.50\u20131.75,\n                    <jats:italic>p<\/jats:italic>\n                    =0.001). Health gains included a reduction in drooling, secretions, vomiting, and constipation. Major surgical complications were found in 13\/74 children. The study provides evidence that catch\u2010up growth and health gains are possible following gastrostomy.\n                  <\/jats:p>","DOI":"10.1017\/s0012162206000776","type":"journal-article","created":{"date-parts":[[2006,4,11]],"date-time":"2006-04-11T12:43:49Z","timestamp":1144759429000},"page":"353-360","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":60,"title":["Medical, surgical, and health outcomes of gastrostomy feeding"],"prefix":"10.1111","volume":"48","author":[{"given":"GM","family":"Craig","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"LJ","family":"Carr","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H","family":"Cass","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"RP","family":"Hastings","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Lawson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Reilly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Ryan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Townsend","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"Spitz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2007,3,2]]},"reference":[{"key":"e_1_2_2_2_1","first-page":"41","article-title":"Hiatus hernia and gastro\u2010oesophagal reflux in children and adolescents with CP","volume":"6","author":"Abrahams P","year":"1970","journal-title":"Aust Paediatr J"},{"key":"e_1_2_2_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(05)81734-2"},{"key":"e_1_2_2_4_1","first-page":"45","article-title":"The LMS method for constructing normalized growth standards","volume":"44","author":"Cole T","year":"1990","journal-title":"Eur J Clin Nutr"},{"key":"e_1_2_2_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2003.tb00928.x"},{"key":"e_1_2_2_6_1","unstructured":"CraigGM. 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(Thesis).University of London."},{"key":"e_1_2_2_7_1","first-page":"31","article-title":"Mother knows best: gastrostomy tube feeding and disabled children","volume":"7","author":"Craig GM","year":"2005","journal-title":"Psychol Women Sect Rev"},{"key":"e_1_2_2_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2005.07.007"},{"key":"e_1_2_2_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(99)90234-8"},{"key":"e_1_2_2_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(88)90360-1"},{"key":"e_1_2_2_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.1994.tb12990.x"},{"key":"e_1_2_2_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.1995.tb12010.x"},{"key":"e_1_2_2_13_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.39.9.578"},{"key":"e_1_2_2_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(98)90364-5"},{"key":"e_1_2_2_15_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2214.2002.00268.x"},{"key":"e_1_2_2_16_1","first-page":"133","article-title":"Survival and functional outcome of children with severe CP following gastrostomy","volume":"72","author":"McGrath SJ","year":"1992","journal-title":"Arch Phys Med Rehabil"},{"key":"e_1_2_2_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00341262"},{"key":"e_1_2_2_18_1","first-page":"153","volume-title":"Feeding Problems in Children: A Guide for Health Professionals","author":"Reilly S","year":"2000"},{"key":"e_1_2_2_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00260975"},{"key":"e_1_2_2_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(96)70032-X"},{"key":"e_1_2_2_21_1","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1542\/peds.82.6.857","article-title":"Growth in children with CP fed via gastrostomy","volume":"82","author":"Rempel GR","year":"1988","journal-title":"Pediatrics"},{"key":"e_1_2_2_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2214.1993.tb00718.x"},{"key":"e_1_2_2_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00262762"},{"key":"e_1_2_2_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2003.tb00421.x"},{"key":"e_1_2_2_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD003943.pub2"},{"key":"e_1_2_2_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.60.8.743"},{"key":"e_1_2_2_27_1","volume-title":"Feeding the Disabled Child. 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