title: [Surgical procedure for gastroesophageal reflux disease in patients with severe motor and intellectual disabilities: problems and prognosis].
abstract: Gastroesophageal reflux disease (GERD) is a complications of patients with severe motor and intellectual disabilities. We examined on 17 patients who operated with GERD. They were divided into 2 groups. Group 1 was comprised of young cases with severe spasticity and chronic respiratory insufficiency. They were under 23 years old. Group 2 with severe intellectual disabilities, aerophagia and/or rumination. They were around 30 years old. Older patients had deformities of the stomach and esophagus. After the operations, fourteen patients had a fair prognosis, three had persistent gastroesophageal reflux (GER), and six patients had subsequent relapse of their GER, and two died.
authors.affiliation: Hikarino-ie Institute, Moro Hospital, Iruma, Saitama.
authors.forename: Harumi
authors.initials: H
authors.lastname: Goto
authors.forename: Ikuko
authors.initials: I
authors.lastname: Suzuki
authors.forename: Kazuko
authors.initials: K
authors.lastname: Maruki
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D006233:Persons with Disabilities; D019959:Feeding and Eating Disorders of Childhood / Q000150:complications; D005260:Female; D005500:Follow-Up Studies; D005764:Gastroesophageal Reflux / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D009122:Muscle Hypertonia / Q000150:complications; D011379:Prognosis; D012008:Recurrence; D012120:Respiration Disorders / Q000150:complications