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Operation for gastro-oesophageal reflux associated with severe mental retardation.
  1. L Spitz,
  2. K Roth,
  3. E M Kiely,
  4. R J Brereton,
  5. D P Drake,
  6. P J Milla
  1. Department of Surgery, Hospital for Sick Children, London.


    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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