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. 1987 Mar:31 ( Pt 1):1-7.
doi: 10.1111/j.1365-2788.1987.tb01337.x.

Surgical management of gastroesophageal reflux in severely mentally retarded children

J H Chang, C D Coln, A D Strickland, J M Andersen

Surgical management of gastroesophageal reflux in severely mentally retarded children

J H Chang et al. J Ment Defic Res. 1987 Mar.

Abstract

Thirty-three severely mentally retarded children with profound 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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