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...Conclusion how to manage gastroenterological and nutritional evaluation management should be enteral tube feeding is recommended in cases of problems children with performed by a mdt unsafe or inefficient oral preferably before neurological impairment accurate assessments carried the development undernutrition out monitor status follow up anthropometry important short guide based on european society for paediatric gastroenterology preferred option micronutrient markers checked annually hepatology nutrition espghan consensus guidelines ni if it nutritionally sufficient safe stress parents caregivers involved free time not prolonged decision making especially around gastrostomy need frequently have swallowing which can associated growth failure micro nutrient deficiencies osteopenia multidisciplinary assessment neurologically impaired child comorbidities weight length triceps skinfold prior this there was lack systematic approach care dietary history e g meal duration motor function asse...