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Surgical management of gastroesophageal reflux in severely mentally retarded children
Author(s) -
CHANG J. H. T.,
COLN C. D.,
STRICKLAND A. D.,
ANDERSEN J. M.
Publication year - 1987
Publication title -
journal of intellectual disability research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.941
H-Index - 104
eISSN - 1365-2788
pISSN - 0964-2633
DOI - 10.1111/j.1365-2788.1987.tb01337.x
Subject(s) - reflux , gastrostomy , malnutrition , mentally retarded , aspiration pneumonia , medicine , nissen fundoplication , pediatrics , intervention (counseling) , pneumonia , surgery , disease , psychiatry , psychology , developmental psychology
. 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.