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The mean interval between fundoplication and adhesion obstruction was 10 months (range 10 days-4 years). Additional procedures performed at the original laparotomy substantially increased the risk of developing obstruction. Re-laparotomy for adhesion obstruction was required by 21 per cent of patients who had a Ladd's procedure and 12 per cent who had appendicectomy. Presenting symptoms were not typical of intestinal obstruction because many of these children were unable to vomit. Only three did vomit but all had radiological appearances suggestive of small bowel obstruction. There were two deaths directly related to adhesion obstruction.<\/jats:p>","DOI":"10.1002\/bjs.1800740907","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T10:27:40Z","timestamp":1172917660000},"page":"777-779","source":"Crossref","is-referenced-by-count":23,"title":["Adhesion obstruction following Nissen fundoplication in children"],"prefix":"10.1093","volume":"74","author":[{"given":"Barbara M","family":"Wilkins","sequence":"first","affiliation":[{"name":"Department of Paediatric Surgery, Institute of Child Health , 30 Guilford Street, London WC1N 1EH,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"Spitz","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Institute of Child Health , 30 Guilford Street, London WC1N 1EH,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1987,9,1]]},"reference":[{"key":"2024092719515522300_bib1","doi-asserted-by":"crossref","first-page":"480","DOI":"10.1016\/S0022-3468(84)80280-8","article-title":"The Thal fundoplication for gastroesophageal reflux","volume":"19","author":"Ashcraft","year":"1984","journal-title":"J Pediatr Surgery"},{"key":"2024092719515522300_bib2","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1097\/00000658-198311000-00003","article-title":"Experience with the Nissen fundoplication for correction of gastroesophageal reflux in infants","volume":"198","author":"Randolph","year":"1983","journal-title":"Ann Surg"},{"key":"2024092719515522300_bib3","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1097\/00000658-198210000-00008","article-title":"Surgical management of reflux structures of the esophagus in childhood","volume":"196","author":"O'Neill","year":"1982","journal-title":"Ann Surg"},{"key":"2024092719515522300_bib4","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1097\/00000658-198305000-00010","article-title":"Gastroesophageal reflux in childhood. 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