OPERATION FOR GASTROESOPHAGEAL REFLUX ASSOCIATED WITH SEVERE MENTAL-RETARDATION

被引:73
作者
SPITZ, L [1 ]
ROTH, K [1 ]
KIELY, EM [1 ]
BRERETON, RJ [1 ]
DRAKE, DP [1 ]
MILLA, PJ [1 ]
机构
[1] HOSP SICK CHILDREN,DEPT GASTROENTEROL,LONDON WC1N 3JH,ENGLAND
关键词
D O I
10.1136/adc.68.3.347
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
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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页码:347 / 351
页数:5
相关论文
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[31]   A COMPARISON OF MEDICAL AND SURGICAL-TREATMENT OF GASTRO-ESOPHAGEAL REFLUX IN SEVERELY RETARDED-CHILDREN [J].
WILKINSON, JD ;
DUDGEON, DL ;
SONDHEIMER, JM .
JOURNAL OF PEDIATRICS, 1981, 99 (02) :202-205