RESUMEN
Transthoracic Nissen fundoplication was used for the correction of gastroesophageal reflux in five mentally retarded patients with severe kypho-roto-scoliosis. This deformity may result in a gastroesophageal junction so high above the left costal margin that transabdominal fundoplication is extremely difficult. Operative morbidity was minimal. One wrap disruption occurred that required reoperation. Results have been satisfactory 6 to 24 months postoperatively.
Asunto(s)
Esófago/cirugía , Fundus Gástrico/cirugía , Reflujo Gastroesofágico/cirugía , Cifosis/complicaciones , Escoliosis/complicaciones , Adolescente , Adulto , Reflujo Gastroesofágico/complicaciones , Humanos , Discapacidad Intelectual/complicaciones , MétodosRESUMEN
The case is reported of a 5-year-old boy who fell into a river during the winter and remained immersed for one half-hour in water at between 0 and 1 degrees C. The child survived but suffered the effects of severe hypothermia and immersion and presented neurologic damage of an unusual type.
