Hypertrophic Pyloric Stenosis and Other Pyloric Affections

Bertozzi, Mirko; Magrini, Elisa; Appignani, Antonino

doi:10.1007/978-3-319-93534-8_16

Cited by 1 publication

(1 citation statement)

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“…HPS is not a surgical emergency as it first requires aggressive intravenous resuscitation 1 Faculty of Medicine, University "Ovidius" of Constanta 2 Clinical Emergency County Hospital of Constanta in dehydrated and metabolically unbalanced infants (3). After liquid correction, extramucous pyloromyotomy is the standard method of treatment, which is a surgical procedure that has remained relatively unchanged for over a century (4).…”

Section: Introductionmentioning

confidence: 99%

Seasonal Variation and Clinical Manifestations of Hypertrophic Pyloric Stenosis: A Retrospective Study

Mihai,

Balasa,

Mihai

et al. 2022

ARS Medica Tomitana

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Hypertrophic pyloric stenosis (HPS) is a gastrointestinal condition that affects newborns and young infants and is characterized by progressive, non-bilious projectile vomiting. This study aimed to investigate the demographics and clinical manifestations of HPS. A retrospective, non-randomized study was conducted over a period of three years (2019-2022) and included 29 patients diagnosed with HPS at the Pediatric Clinic of the County Clinical Emergency Hospital of Constanta. The results showed a significant male predilection, with a ratio of 1:4.8, and a seasonal variation with a higher incidence of HPS in the summer months. The primary symptom of HPS was non-bilious forceful vomiting after feeding, observed in nearly all cases. Other symptoms included dehydration, stagnation and decrease in weight. The thickness of the pyloric muscle was measured using ultrasonography and was found to be an average of 54.5 mm, with a range between 30 mm and 79 mm, which is considered a strong indication of HPS. This study highlights the importance of considering HPS as a possible diagnosis in newborns and young infants presenting with symptoms of projectile vomiting, and emphasizes the need for further research into the seasonal variation of HPS and its underlying causes.

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Section: Introductionmentioning

confidence: 99%