Surgical management of gastroesophageal reflux in severely mentally retarded children.
Thirty-three severely mentally retarded children with profound malnutrition and aspiration pneumonitis were treated by gastrostomy and Nissen fundoplication. Early and late complications were 27.3% and 16.6% respectively. Mortality was 9.4%. All surviving patients gained weight. Time required for feeding was greatly reduced. This study supports earlier operative intervention for the mentally retarded child with gastroesophageal reflux, malnutrition and aspiration pneumonitis.
D001835:Body Weight; D002648:Child; D002675:Child, Preschool; D004947:Esophagus / Q000601:surgery*; D005260:Female; D005764:Gastroesophageal Reflux / Q000150:complications / Q000601:surgery*; D005774:Gastrostomy; D006801:Humans; D008607:Intellectual Disability / Q000150:complications*; D008297:Male; D009748:Nutrition Disorders / Q000150:complications; D011015:Pneumonia, Aspiration / Q000150:complications; D013270:Stomach / Q000601:surgery*