Benign and Malignant Gastric Outlet Obstruction

Saydi, John; Todd, S. Rob

doi:10.1007/978-3-319-96286-3_9

Cited by 2 publications

(1 citation statement)

References 29 publications

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“…19,20 IHPS occurs in approximately 0.2 to 0.35 of live births, although rates and trends vary markedly from region to region. 21 It is more common in males than in females. The accuracy of sonography was evaluated in the diagnosis and exclusion of IHPS, in infants with positive feed-test and no obvious palpable pyloric mass, in a study by Resheed.…”

Section: Discussionmentioning

confidence: 99%

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

Gilani

Bacha

Manzoor

2020

Journal of Diagnostic Medical Sonography

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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.

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Section: Discussionmentioning

confidence: 99%

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

Gilani

Bacha

Manzoor

2020

Journal of Diagnostic Medical Sonography

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Circumferential Pyloric Ulcer Inducing Gastric Outlet Obstruction: A Report of a Rare Case

Jadhav,

Anwar,

Khan

et al. 2024

Cureus

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We present a case of a 46-year-old female who presented to the hospital with significant abdominal distension, intractable vomiting, and pre-renal acute kidney injury (AKI) secondary to hypovolemia. Blood tests revealed global electrolyte derangements and a significant drop in estimated glomerular filtration rate (eGFR) from a baseline of over 90 to 6.7. Diagnostic investigations unveiled a circumferential pyloric ulcer causing gastric outlet obstruction. This case highlights a rare but notable subtype of peptic ulceration leading to this severe clinical presentation, emphasising the importance of early diagnosis and management.

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Benign and Malignant Gastric Outlet Obstruction

Cited by 2 publications

References 29 publications

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

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

Circumferential Pyloric Ulcer Inducing Gastric Outlet Obstruction: A Report of a Rare Case

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