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11.7%) and LNF requirement later on (6.5% vs. 8.8%) were statistically similar between the two periods. Routine screening for GER is not necessary prior to gastrostomy in neurologically impaired children. Symptom-selective screening algorithm is safe and efficient in the long term. Routine screening for GER is not necessary prior to gastrostomy in neurologically impaired children. Symptom-selective screening algorithm is safe and efficient in the long term.This study aimed to examine the factors that contribute to improvement of exerc

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