scholarly journals A Single Institution Experience in Hypertrofic Pyloric Stenosis

2020 ◽  
Vol 25 (4) ◽  
pp. 47-49
Author(s):  
Tamas Toth ◽  
Ana-Maria Prişcă ◽  
Angela Borda ◽  
Horea Gozar ◽  
Radu-Alexandru Prişcă
Keyword(s):  
Pyloric Stenosis ◽  
Gold Standard ◽  
Imaging Technique ◽  
Correct Diagnosis ◽  
Hypertrophic Pyloric Stenosis ◽  
Muscle Thickness ◽  
Single Institution ◽  
Correct Treatment ◽  
Experienced Radiologist ◽  
Common Causes

Abstract The most common causes of non-bilious vomiting in infants are hypertrophic pyloric stenosis and pylorospasm. Differential diagnosis between the pathologies establishes the correct treatment. The aim of our study is to present the management of the pathologies cured in our department. The longer the duration of vomiting symptoms the higher muscle thickness was shown. Dehydration and lethargy was associated with higher muscle thickness. There were no intraoperative or postoperative complications recorded in our cases. Ultrasonography is the gold standard in imaging technique but it requires an experienced radiologist. In case of negative physical examination and ultrasonography, but high suspicion of the diagnosis a fluoroscopy may be required. The correct diagnosis avoids unnecessary surgery combined with general anesthesia.

Pediatric Abdominal Emergencies

2019 ◽  
Author(s):  
Jeffrey Bullard-Berent ◽  
Aaron Kornblith
Keyword(s):  
Abdominal Pain ◽  
Pyloric Stenosis ◽  
Correct Diagnosis ◽  
Hypertrophic Pyloric Stenosis ◽  
Emergency Department Visits ◽  
Infantile Hypertrophic Pyloric Stenosis ◽  
Midgut Volvulus ◽  
Meckel Diverticulum ◽  
Incarcerated Inguinal Hernia ◽  
Abdominal Emergencies

Pediatric abdominal emergencies represent a diverse group of conditions affecting children of all ages and are a common cause of emergency department visits. The challenge for emergency physicians is discerning which child presenting with the common complaints of abdominal pain, nausea, vomiting, and diarrhea has an abdominal emergency. The emergency physician must use a thorough history, developmentally appropriate examination skills, and integration of his or her knowledge base to arrive at the correct diagnosis. This review evaluates the most common pediatric abdominal emergencies organized by chronicity from birth to adolescents: midgut volvulus, infantile hypertrophic pyloric stenosis, incarcerated inguinal hernia, ileocecal intussusception, Meckel diverticulum, and appendicitis. Readers will understand common presentations as well as the evaluation and treatment options for each diagnosis.   This review contains 7 figures, 9 tables and 64 references Key words: abdominal pain, appendicitis, hernia, hypertrophic pyloric stenosis, intussusception, Meckel diverticulum, midgut volvulus

Sonography and Test-Feeding in the Diagnosis of Infantile Hypertrophic Pyloric Stenosis

2020 ◽  
Vol 37 (1) ◽  
pp. 25-30
Author(s):  
Syed Amir Gilani ◽  
Raham Bacha ◽  
Iqra Manzoor
Keyword(s):  
Pyloric Stenosis ◽  
Hypertrophic Pyloric Stenosis ◽  
Clinical Signs ◽  
Muscle Thickness ◽  
Male Gender ◽  
Infantile Hypertrophic Pyloric Stenosis ◽  
Study Duration ◽  
The Mean ◽  
Pyloric Muscle ◽  
Better Than

Objective: To determine the use of sonography and test-feeding in the diagnosis of infantile hypertrophic pyloric stenosis (IHPS). Methodology: A total of 79 infants from 2 weeks up to 12 weeks presenting with clinical signs (projectile vomiting) of IHPS were included in the study while sent to sonography. The study duration was February 2014 to December 2019. Results: The mean age of patients was 5.18 ± 2.69 weeks ranging from 1 to 12 weeks. Male gender was predominant with 62 (78.5%) cases. Of the total 79 cases, 36 (54.6%) were suggested as positive cases of IHPS and 43 (54.4%) were as normal with sonography. Most of the cases of IHPS (23; 29.1%) were observed in firstborn babies. Mean pyloric length in normal and IHPS was 12.69 ± 0.87 and 20.78 ± 2.28 mm, respectively, and mean pyloric muscle thickness in the normal and IHPS was 2.24 ± 0.36 and 5.27 ± 0.82 mm, respectively, while mean pyloric diameter in normal and IHPS was 12.69 ±0.87 and 15.01± 2.52 mm, respectively. Conclusion: The reliability of sonographic findings was better than test-feeding in the diagnosis of IHPS. Male infants, in this cohort, were five times more susceptible to develop IHPS, compared with females.

Pediatric Abdominal Emergencies

2018 ◽  
Author(s):  
Jeffrey Bullard-Berent ◽  
Aaron Kornblith
Keyword(s):  
Abdominal Pain ◽  
Pyloric Stenosis ◽  
Correct Diagnosis ◽  
Hypertrophic Pyloric Stenosis ◽  
Emergency Department Visits ◽  
Infantile Hypertrophic Pyloric Stenosis ◽  
Midgut Volvulus ◽  
Meckel Diverticulum ◽  
Incarcerated Inguinal Hernia ◽  
Abdominal Emergencies

Pediatric abdominal emergencies represent a diverse group of conditions affecting children of all ages and are a common cause of emergency department visits. The challenge for emergency physicians is discerning which child presenting with the common complaints of abdominal pain, nausea, vomiting, and diarrhea has an abdominal emergency. The emergency physician must use a thorough history, developmentally appropriate examination skills, and integration of his or her knowledge base to arrive at the correct diagnosis. This review evaluates the most common pediatric abdominal emergencies organized by chronicity from birth to adolescents: midgut volvulus, infantile hypertrophic pyloric stenosis, incarcerated inguinal hernia, ileocecal intussusception, Meckel diverticulum, and appendicitis. Readers will understand common presentations as well as the evaluation and treatment options for each diagnosis.   This review contains 7 figures, 6 tables and 61 references Key words: abdominal pain, appendicitis, hernia, hypertrophic pyloric stenosis, intussusception, Meckel diverticulum, midgut volvulus 

Pediatric Abdominal Emergencies

2019 ◽  
Author(s):  
Jeffrey Bullard-Berent ◽  
Aaron Kornblith
Keyword(s):  
Abdominal Pain ◽  
Pyloric Stenosis ◽  
Correct Diagnosis ◽  
Hypertrophic Pyloric Stenosis ◽  
Emergency Department Visits ◽  
Infantile Hypertrophic Pyloric Stenosis ◽  
Midgut Volvulus ◽  
Meckel Diverticulum ◽  
Incarcerated Inguinal Hernia ◽  
Abdominal Emergencies

Pediatric abdominal emergencies represent a diverse group of conditions affecting children of all ages and are a common cause of emergency department visits. The challenge for emergency physicians is discerning which child presenting with the common complaints of abdominal pain, nausea, vomiting, and diarrhea has an abdominal emergency. The emergency physician must use a thorough history, developmentally appropriate examination skills, and integration of his or her knowledge base to arrive at the correct diagnosis. This review evaluates the most common pediatric abdominal emergencies organized by chronicity from birth to adolescents: midgut volvulus, infantile hypertrophic pyloric stenosis, incarcerated inguinal hernia, ileocecal intussusception, Meckel diverticulum, and appendicitis. Readers will understand common presentations as well as the evaluation and treatment options for each diagnosis.   This review contains 7 figures, 9 tables and 64 references Key words: abdominal pain, appendicitis, hernia, hypertrophic pyloric stenosis, intussusception, Meckel diverticulum, midgut volvulus

Pediatric Abdominal Emergencies

2019 ◽  
Author(s):  
Jeffrey Bullard-Berent ◽  
Aaron Kornblith
Keyword(s):  
Abdominal Pain ◽  
Pyloric Stenosis ◽  
Correct Diagnosis ◽  
Hypertrophic Pyloric Stenosis ◽  
Emergency Department Visits ◽  
Infantile Hypertrophic Pyloric Stenosis ◽  
Midgut Volvulus ◽  
Meckel Diverticulum ◽  
Incarcerated Inguinal Hernia ◽  
Abdominal Emergencies

Pediatric abdominal emergencies represent a diverse group of conditions affecting children of all ages and are a common cause of emergency department visits. The challenge for emergency physicians is discerning which child presenting with the common complaints of abdominal pain, nausea, vomiting, and diarrhea has an abdominal emergency. The emergency physician must use a thorough history, developmentally appropriate examination skills, and integration of his or her knowledge base to arrive at the correct diagnosis. This review evaluates the most common pediatric abdominal emergencies organized by chronicity from birth to adolescents: midgut volvulus, infantile hypertrophic pyloric stenosis, incarcerated inguinal hernia, ileocecal intussusception, Meckel diverticulum, and appendicitis. Readers will understand common presentations as well as the evaluation and treatment options for each diagnosis.   This review contains 7 figures, 9 tables and 64 references Key words: abdominal pain, appendicitis, hernia, hypertrophic pyloric stenosis, intussusception, Meckel diverticulum, midgut volvulus

Pyloric Size in Normal Infants and in Infants Suspected of Having Hypertrophic Pyloric Stenosis

1995 ◽  
Vol 36 (3) ◽  
pp. 261-264 ◽  
Author(s):  
D. Hallam ◽  
B. Hansen ◽  
B. Bødker ◽  
S. Klintorp ◽  
J. F. Pedersen
Keyword(s):  
Pyloric Stenosis ◽  
Hypertrophic Pyloric Stenosis ◽  
Muscle Thickness ◽  
Final Diagnosis ◽  
Initial Diagnosis ◽  
Healthy Infants ◽  
The Mean ◽  
Pyloric Muscle

Pyloric muscle thickness (PMT) and pyloric diameter (PD) were determined by sonography in 92 healthy infants aged 8 to 70 days. PMT and PD measured median 2.0 mm and 10.0 mm. There was a significant correlation between the pyloric dimensions and the infant's age, p<0.02 and p<0.00001 for PMT and PD, respectively. In 26 infants with an initial diagnosis of hypertrophic pyloric stenosis (HPS), but with a final diagnosis of no HPS the mean figures were 2.4 and 11.0 mm, and in 21 infants with HPS, confirmed at surgery, the figures were 4.0 and 14.0. The pyloric dimensions in the 3 groups differed significantly. The larger-than-normal pyloric dimensions in the “no HPS” group suggest that some of these patients suffered from milder degrees of HPS.

Sign in / Sign up

Export Citation Format

Share Document