Reviewer's report 
 Antroduodenal Motility in Neurologically Handicapped Children with Feeding Intolerance Title: 
 1  13 June 2004 Version: Date: 
 Jacob C. Langer Reviewer: 
Reviewer's report: 
General 
This is a very good paper that provides new information about a very difficult group of children that 
many of us struggle with. It is well written and clear. ------------------------------------------------------------------------------- Major Compulsory Revisions (that the author must respond to before a decision on publication can 
be reached) 
1. Many patients undergoing fundoplication also have a gastric emptying procedure done (ie pyloroplasty or antromyotomy). The authors should tell us how many of the children in the study had a gastric emptying procedure done previously. 
2. The authors should go back over the data and see if there is any correlation between specific 
symptoms (ie retching, sweating, diarrhea) and distinct patterns of abnormal motility on their investigations. ------------------------------------------------------------------------------- 
Minor Essential Revisions (such as missing labels on figures, or the wrong use of a term, which the 
author can be trusted to correct) 1. The authors only discussed the postoperative symptoms. Many of these children also have significant symptoms before the operation. Please give us the preoperative information as well. 
2. It would be good to know what the incidence of these manometric abnormalities is in 
neurologically impaired children who have not had a fundoplication. Is this information available either from the authors' own experience or from the literature? ------------------------------------------------------------------------------- 
Discretionary Revisions (which the author can choose to ignore) 
 Accept after minor essential revisions What next?: 
 An article whose findings are important to those with closely related research Level of interest: 
interests 
 Acceptable Quality of written English: 
 No Statistical review: 
Declaration of competing interests: 
None 
Reviewer's report 
 Antroduodenal Motility in Neurologically Handicapped Children with Feeding Intolerance Title: 
 1  13 June 2004 Version: Date: 
 Jacob C. Langer Reviewer: 
Reviewer's report: 
General 
This is a very good paper that provides new information about a very difficult group of children that 
many of us struggle with. It is well written and clear. ------------------------------------------------------------------------------- Major Compulsory Revisions (that the author must respond to before a decision on publication can 
be reached) 
1. Many patients undergoing fundoplication also have a gastric emptying procedure done (ie pyloroplasty or antromyotomy). The authors should tell us how many of the children in the study had a gastric emptying procedure done previously. 
2. The authors should go back over the data and see if there is any correlation between specific 
symptoms (ie retching, sweating, diarrhea) and distinct patterns of abnormal motility on their investigations. ------------------------------------------------------------------------------- 
Minor Essential Revisions (such as missing labels on figures, or the wrong use of a term, which the 
author can be trusted to correct) 1. The authors only discussed the postoperative symptoms. Many of these children also have significant symptoms before the operation. Please give us the preoperative information as well. 
2. It would be good to know what the incidence of these manometric abnormalities is in 
neurologically impaired children who have not had a fundoplication. Is this information available either from the authors' own experience or from the literature? ------------------------------------------------------------------------------- 
Discretionary Revisions (which the author can choose to ignore) 
 Accept after minor essential revisions What next?: 
 An article whose findings are important to those with closely related research Level of interest: 
interests 
 Acceptable Quality of written English: 
 No Statistical review: 
Declaration of competing interests: 
None 
Please review this paper.
user
Reviewer's report 
 Antroduodenal Motility in Neurologically Handicapped Children with Feeding Intolerance Title: 
 1  13 June 2004 Version: Date: 
 Jacob C. Langer Reviewer: 
Reviewer's report: 
General 
This is a very good paper that provides new information about a very difficult group of children that 
many of us struggle with. It is well written and clear. ------------------------------------------------------------------------------- Major Compulsory Revisions (that the author must respond to before a decision on publication can 
be reached) 
1. Many patients undergoing fundoplication also have a gastric emptying procedure done (ie pyloroplasty or antromyotomy). The authors should tell us how many of the children in the study had a gastric emptying procedure done previously. 
2. The authors should go back over the data and see if there is any correlation between specific 
symptoms (ie retching, sweating, diarrhea) and distinct patterns of abnormal motility on their investigations. ------------------------------------------------------------------------------- 
Minor Essential Revisions (such as missing labels on figures, or the wrong use of a term, which the 
author can be trusted to correct) 1. The authors only discussed the postoperative symptoms. Many of these children also have significant symptoms before the operation. Please give us the preoperative information as well. 
2. It would be good to know what the incidence of these manometric abnormalities is in 
neurologically impaired children who have not had a fundoplication. Is this information available either from the authors' own experience or from the literature? ------------------------------------------------------------------------------- 
Discretionary Revisions (which the author can choose to ignore) 
 Accept after minor essential revisions What next?: 
 An article whose findings are important to those with closely related research Level of interest: 
interests 
 Acceptable Quality of written English: 
 No Statistical review: 
Declaration of competing interests: 
None 
assistant