I am sorry to hear that Keyan has aspiration and reflux, and I pray that the g-tube and nissen will help with that. Each child is different, but I think that, across the board, they all have a greater chance of making developmental strides when they aren't struggling to breathe and using all of their energy to stay alive. I hope this helps a little and I hope Keyan does make great strides.
Amanda,Mom to Jacob, greatest kid in the world. X-Linked Myotubular Myopathy, trach, vent, g-tube.