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. 1993 Mar;68(3):347–351. doi: 10.1136/adc.68.3.347

Operation for gastro-oesophageal reflux associated with severe mental retardation.

L Spitz 1, K Roth 1, E M Kiely 1, R J Brereton 1, D P Drake 1, P J Milla 1
PMCID: PMC1793892  PMID: 8466236

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.

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Selected References

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