Operation for gastro-oesophageal reflux associated with severe mental retardation

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 'mino...

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Bibliographic Details
Published in:Archives of disease in childhood 1993-03, Vol.68 (3), p.347-351
Main Authors: Spitz, L, Roth, K, Kiely, E M, Brereton, R J, Drake, D P, Milla, P J
Format: Article
Language:English
Subjects:
Age Factors
Biological and medical sciences
Child
Child, Preschool
Female
Follow-Up Studies
Gastric Fundus - surgery
Gastroenterology. Liver. Pancreas. Abdomen
Gastroesophageal Reflux - complications
Gastroesophageal Reflux - surgery
Humans
Intellectual Disability - complications
Male
Malformations
Medical sciences
Postoperative Complications
Quality of Life
Reoperation
Retrospective Studies
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Treatment Outcome
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Summary: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.
ISSN:0003-9888
1468-2044
DOI:10.1136/adc.68.3.347