PT  - JOURNAL ARTICLE
AU  - L Spitz
AU  - K Roth
AU  - E M Kiely
AU  - R J Brereton
AU  - D P Drake
AU  - P J Milla
TI  - Operation for gastro-oesophageal reflux associated with severe mental retardation.
AID  - 10.1136/adc.68.3.347
DP  - 1993 Mar 01
TA  - Archives of Disease in Childhood
PG  - 347--351
VI  - 68
IP  - 3
4099  - http://adc.bmj.com/content/68/3/347.short
4100  - http://adc.bmj.com/content/68/3/347.full
SO  - Arch Dis Child1993 Mar 01; 68
AB  - 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.