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[重度运动和智力残疾患者胃食管反流病的外科手术治疗:问题与预后]

[Surgical procedure for gastroesophageal reflux disease in patients with severe motor and intellectual disabilities: problems and prognosis].

作者信息

Goto Harumi, Suzuki Ikuko, Maruki Kazuko

机构信息

Hikarino-ie Institute, Moro Hospital, Iruma, Saitama.

出版信息

No To Hattatsu. 2004 Jan;36(1):39-44.

PMID:14737862
Abstract

Gastroesophageal reflux disease (GERD) is a complications of patients with severe motor and intellectual disabilities. We examined on 17 patients who operated with GERD. They were divided into 2 groups. Group 1 was comprised of young cases with severe spasticity and chronic respiratory insufficiency. They were under 23 years old. Group 2 with severe intellectual disabilities, aerophagia and/or rumination. They were around 30 years old. Older patients had deformities of the stomach and esophagus. After the operations, fourteen patients had a fair prognosis, three had persistent gastroesophageal reflux (GER), and six patients had subsequent relapse of their GER, and two died.

摘要

胃食管反流病(GERD)是重度运动和智力残疾患者的一种并发症。我们对17例接受GERD手术的患者进行了检查。他们被分为两组。第一组由患有严重痉挛和慢性呼吸功能不全的年轻病例组成。他们年龄在23岁以下。第二组患有严重智力残疾、吞气症和/或反刍。他们年龄在30岁左右。老年患者有胃和食管畸形。手术后,14例患者预后良好,3例持续性胃食管反流(GER),6例GER随后复发,2例死亡。

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