scholarly journals Asymmetric Hypertrophic Pyloric Stenosis with Concurrent Pancreatic Rest Presenting as Gastric Outlet Obstruction

2016 ◽  
Vol 174 ◽  
pp. 273-273.e1
Author(s):  
June S. Peng ◽  
Kaitlin Ritter ◽  
Fatima Hamadeh ◽  
Federico G. Seifarth
Keyword(s):  
Pyloric Stenosis ◽  
Gastric Outlet Obstruction ◽  
Hypertrophic Pyloric Stenosis ◽  
Outlet Obstruction

The Value of Ultrasound in the Diagnosis of Congenital Hypertrophic Pyloric Stenosis

1993 ◽  
Vol 32 (5) ◽  
pp. 281-283 ◽  
Author(s):  
Marcos Kovalivker ◽  
Ilan Erez ◽  
Nina Shneider ◽  
Ernesto Glazer ◽  
Ludwig Lazar
Keyword(s):  
Pyloric Stenosis ◽  
Gastric Outlet Obstruction ◽  
Clinical Picture ◽  
Hypertrophic Pyloric Stenosis ◽  
Barium Meal ◽  
Outlet Obstruction ◽  
Sonographic Diagnosis ◽  
Congenital Hypertrophic Pyloric Stenosis ◽  
Clinically Significant ◽  
Pyloric Muscle

The charts of 103 children with a clinically and surgically confirmed diagnosis of congenital hypertrophic pyloric stenosis were retrospectively reviewed. We found a significant correlation between sonographic and surgical measurements of the muscular thickness of the pylorus ( r = .987, P<.001). In 73.7% (76 cases), the clinical picture of gastric outlet obstruction was present when the thickness of the enlarged pyloric muscle was 3.0 mm or more. In 26.3% (27 cases), the pyloric muscle was less than 3.0 mm wide. For 10 patients in whom the muscle width was less than 2.5 mm by sonography, a barium meal was necessary to confirm the diagnosis. The width of the pyloric muscle is the most important factor in the sonographic diagnosis of pyloric stenosis, and even a width of less than 3.0 mm may be associated with clinically significant obstruction.

scholarly journals Postoperative gastric Outlet Obstruction following hiatal hernia repair in an infant: A case report

2021 ◽  
Vol 1 (2) ◽  
Author(s):  
Dr Muhammad Jawad Afzal ◽  
Shabbir Ahmad ◽  
Farrakh Mehmood Satar ◽  
Sajid Iqbal Nayyer ◽  
Muhammad Bilal Mirza ◽  
...  
Keyword(s):  
Hiatal Hernia ◽  
Pyloric Stenosis ◽  
Gastric Outlet Obstruction ◽  
Hypertrophic Pyloric Stenosis ◽  
Outlet Obstruction ◽  
Hiatal Hernia Repair ◽  
Infantile Hypertrophic Pyloric Stenosis ◽  
Intrathoracic Stomach ◽  
Case Presentation ◽  
Male Baby

Background: Infantile hypertrophic pyloric stenosis (IHPS) is an exceedingly rare cause of postoperative emesis in a case of hiatal hernia. Occasionally it may simulate other etiology of gastric outlet obstruction. Case Presentation: A 32-day-old male baby presented with respiratory distress and vomiting since birth. Diagnosis of eventration of left hemi diaphragm was made on CT Chest. At surgery, hiatal hernia with an intrathoracic stomach was found, which was repaired. On 5th postoperative day, the baby developed vomiting after feeding which gradually turned to be projectile in nature over a week. Contrast meal performed showed malpositioned stomach with delayed emptying. At re-operation, a well-formed olive of pylorus was encountered; Ramstedt pyloromyotomy was done. Postoperative course remained uneventful. Conclusion: IHPS is a rarely described association with hiatal hernia. Pyloric stenosis should be considered in differential diagnoses of postoperative emesis in infants with hiatal hernia.

scholarly journals Gastric outlet obstruction secondary to peptic ulcer disease, previously misdiagnosed as idiopathic hypertrophic pyloric stenosis in a 16-year-old girl: a case report

2020 ◽  
Vol 2020 (7) ◽  
Author(s):  
Yves Alain Notue ◽  
Ulrich Igor Mbessoh ◽  
Tim Fabrice Tientcheu ◽  
Boniface Moifo ◽  
Alain Chichom Mefire
Keyword(s):  
Peptic Ulcer ◽  
Peptic Ulcer Disease ◽  
Pyloric Stenosis ◽  
Gastric Outlet Obstruction ◽  
Hypertrophic Pyloric Stenosis ◽  
Outlet Obstruction ◽  
Clinical Event ◽  
Distal Stomach ◽  
Ulcer Disease ◽  
Aetiological Diagnosis

Abstract Gastric outlet obstruction encompasses a broad spectrum of conditions characterized by complete or incomplete obstruction of the distal stomach, which interrupts gastric emptying and prevents the passage of gastric contents beyond the proximal duodenum. Idiopathic hypertrophic pyloric stenosis is the most common cause with an incidence of 1.5–3 per 1000 live births. However, it is excluded; other causes in children such as peptic ulcer disease are relatively rare. We report a case of an acquired gastric outlet obstruction due to peptic ulcer disease, previously misdiagnosed as idiopathic hypertrophic pyloric stenosis in a 16-year-old girl. Beyond the rarity of this clinical event, this case highlights the challenges of the aetiological diagnosis of gastric outlet obstruction with subsequent therapeutic issues, and is the first documented case in Cameroon.

scholarly journals Adult idiopathic hypertrophic pyloric stenosis: an infrequent cause of gastric outlet obstruction

2020 ◽  
Vol 7 (5) ◽  
pp. 1698
Author(s):  
Nida Khan ◽  
Meena Kumar ◽  
Abhishek Mahadik ◽  
Pragati Singhal
Keyword(s):  
Pyloric Stenosis ◽  
Gastric Outlet Obstruction ◽  
Middle Age ◽  
Hypertrophic Pyloric Stenosis ◽  
Subtotal Gastrectomy ◽  
Outlet Obstruction ◽  
Endoscopic Dilatation ◽  
Congenital Disease ◽  
Endoscopic Findings

Hypertrophic pyloric stenosis is a congenital disease, presenting within two weeks of birth. However adult idiopathic hypertrophic pyloric stenosis (AIHPS) presents in middle age, predominantly in males and usually without any antecedent cause. Secondary variant may be due to intra gastric causes or extra gastric post-operative adhesions. Patient presents with symptoms of gastric outlet obstruction. Diagnosis depends on clinical, radiological and endoscopic findings. Treatment is subtotal gastrectomy. Pyloroplasty and endoscopic dilatation may be tried in debilitated patients. We present a case of AIHPS presenting as gastric outlet obstruction in a 16 year old female, that was surgically managed with an antrectomy.

scholarly journals A clinical study of gastric outlet obstruction

2016 ◽  
Vol 4 (1) ◽  
pp. 264
Author(s):  
Suresh Clement H. ◽  
Ram Prasad Cherukumalli ◽  
Ch. Ravinder Rao
Keyword(s):  
Duodenal Ulcer ◽  
Pyloric Stenosis ◽  
Gastric Outlet Obstruction ◽  
Hypertrophic Pyloric Stenosis ◽  
Duodenal Bulb ◽  
Outlet Obstruction ◽  
Palliative Surgery ◽  
Infantile Hypertrophic Pyloric Stenosis ◽  
Age Group ◽  
Carcinoma Stomach

Background:From the standpoint of pathology, the term pyloric stenosis is usually inaccurate at least in adult patients, since the site of obstruction is rarely situated at the pylorus itself but, is more often placed immediately proximal to the spinchter where the diagnosis of carcinoma is most probable or more distally in the duodenal bulb where the cause is almost invariably a duodenal ulcer. The aim was to study infantile hypertrophic pyloric stenosis, benign peptic ulcer and gastric carcinoma and evaluation of electrolyte abnormalities in gastric outlet obstruction, to study various modalities of treatment and to assess pertaining to recovery from paralytic ileus.  Methods: This was a clinical observational study comprising of 40 cases of gastric outlet obstruction. The patients for this study have been selected from Prathima Institute of Medical Sciences, Karimnagar, Telangana, India from December 2013- November 2015. The cases were selected who were willing to undergo surgery.Results:Congenital hypertrophic pyloric stenosis (CHPS) is more common among first born male infants. Parental consanguinity is associated with increased incidence of congenital hypertrophic pyloric stenosis. CHPS is common in the age group of first 3-6 weeks of life (average 4 weeks). Males are more commonly affected with gastric outlet obstructions in adults. Cicatrized duodenal ulcer is more common in the age group of 30-40 years, while carcinoma stomach is more common in age group of 50-60 years. Vomiting and visible gastric peristalsis are the most common and constant symptom and sign of gastric outlet obstruction, more so in cases of cicatrized duodenal ulcers.Conclusions:Ramstedt’s pyloromyotomy is the gold standard treatment for CHPS. Patients with gastric outlet obstruction due to cicatrized duodenal ulcer require truncal vagotomy with posterior gastrojejunostomy. Vagotomy is optional in view of better response with drugs for APD. Antral carcinoma cases require curative or palliative surgery depending on the stage of the disease.

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