Surgical management of gastroesophageal reflux in severely mentally retarded children |
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| Authors: | J. H. T. CHANG C. D. COLN A. D. STRICKLAND J. M. ANDERSEN |
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| Affiliation: | University of Texas Health Science Center at Dallas, USA |
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| Abstract: | ABSTRACT. Thirty-three severely mentally retarded children with profond malnutrition and aspiration pneumonitis were treated by gastrostomy and Nissen fundoplication. Early and late complications were 27.3% and 16.6% respectively. Mortality was 9.4%. All surviving patients gained weight. Time required for feeding was greatly, reduced. This study supports earlier operative intervention for the mentally retarded child with gastroesophageal reflux, malnutrition and aspiration pneumonitis. |
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