Assessment 135

Suggestions for optimizing oral intake 135

Tube feeding 136

Gastro-oesophageal reflux disease (GORD) 137

Gastrostomy placement and subsequent care 137

Neurological handicap is common, with around 15 000–20 000 children in the United Kingdom having cerebral palsy. Of these, 50% are reported to have feeding problems, rising to 85% in more severely affected children (e.g. those with spastic quadriplegia). In an Oxford-based community study of feeding and nutritional problems in children with neurological impairment: ...