title: Operation for gastro-oesophageal reflux associated with severe mental retardation.
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.
authors: Department of Surgery, Hospital for Sick Children, London.
authors: L
authors: L
authors: Spitz
authors: K
authors: K
authors: Roth
authors: E M
authors: EM
authors: Kiely
authors: R J
authors: RJ
authors: Brereton
authors: D P
authors: DP
authors: Drake
authors: P J
authors: PJ
authors: Milla
mesh_terms: D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D005748:Gastric Fundus / Q000601:surgery; D005764:Gastroesophageal Reflux / Q000150:complications / Q000601:surgery*; D006801:Humans; D008607:Intellectual Disability / Q000150:complications*; D008297:Male; D011183:Postoperative Complications; D011788:Quality of Life; D012086:Reoperation; D012189:Retrospective Studies; D016896:Treatment Outcome