[Anti-reflux surgery is possible also in children with multiple disabilities. Good results after Nissen fundoplication in 10-years experience].
82 children with gastroesophageal reflux, 43 of whom were seriously neurologically impaired, were operated according to Nissen. A retrospective study compares the results, complications and recurrences between children with and children without neurological disability. There were no major differences between the groups; four of the neurologically impaired children and one without impairment had died from unrelated causes. In 62 children, 31 of whom were neurologically impaired, the operation was completely successful, 13 children (six of whom were neurologically impaired) had minor problems, two (both neurologically impaired) had major problems. The conclusion is that serious neurological impairment can not be considered a contraindication to antireflux surgery.
Akademiska barnsjukhuset, Uppsala. kai.lundkvist@kirurgi.uu.se
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D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D000075202:Contraindications; D019988:Children with Disabilities; D005260:Female; D005500:Follow-Up Studies; D018662:Fundoplication / Q000379:methods*; D005764:Gastroesophageal Reflux / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D019957:Motor Skills Disorders / Q000150:complications / Q000503:physiopathology; D019989:Persons with Intellectual Disabilities; D011379:Prognosis; D012189:Retrospective Studies