Operation for gastro-oesophageal reflux associated with severe mental retardation. Issue 3 (March 1993)

• Record Type: Journal Article
• Authors: Spitz, L; Roth, K; Kiely, E M; Brereton, R J; Drake, D P; Milla, P J
• Is Part Of: Archives of disease in childhood. Volume 68:Issue 3(1993)
• Page Start: 347
• Page End: 351
• Publication Date: 1993-03
• Subjects: Children -- Diseases -- Periodicals; Infants -- Diseases -- Periodicals; 618.920005
• DOI: 10.1136/adc.68.3.347
• Languages: English
• ISSNs: 0003-9888

Abstract

Abstract : One hundred and seventy six children with severe mental retardation underwent a fundoplication for considerable gastro-oesophageal reflux. There were six 'early' (3%) deaths and five 'late' deaths. Major complications developed in 17 (10%) children whereas 86 (49%) had 'minor' complications. A revision operation was required in 27 patients. Overall 142 (81%) children achieved a good result. In spite of the high complication rate and the need for a secondary operation in 15% of the patients, the quality of life for these children and their parents and carers is greatly improved by antireflux surgery.