Infantile hypertrophic pyloric stenosis with unusual presentations in Sagamu, Nigeria: a case report and review of the literature

Ogunlesi, TA; Kuponiyi, O; Nwokoro, CC; Ogundele, Ibukunolu Olufemi; Abe, Gbenga Fakunle; Ogunfowora, OB

doi:10.11604/pamj.2016.24.114.8847

Cited by 3 publications

(4 citation statements)

References 5 publications

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“…Of these, 16 (40.0%) articles were published within the first three and a half decades of the study [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] [Table 1a] from 1951 to 1982 (Group A) and 24 (60.0%) were published in the last three and a half decades [Table 1b] from 1983 to 2018 (Group B). [9, There were 14 (35.0%) case reports, [12,[14][15][16][17]19,21,24,[32][33][34][43][44][45] of which eight (20.0%) were published within the first three and a half decades [12,[14][15][16][17]19,21,24] and six (15.0%) articles were published later. [32][33][34][43][44][45] Seven (17.5%) articles were case series, [11,…”

Section: Resultsmentioning

confidence: 99%

“…[9, There were 14 (35.0%) case reports, [12,[14][15][16][17]19,21,24,[32][33][34][43][44][45] of which eight (20.0%) were published within the first three and a half decades [12,[14][15][16][17]19,21,24] and six (15.0%) articles were published later. [32][33][34][43][44][45] Seven (17.5%) articles were case series, [11,18,20,22,23,36,41] all but two (5.0%) [36,41] were published within the first three and a half decades, 15 (37.5%) articles were retrospective studies [9,13,[25][26][27][28][29][30][31]35,37,…”

Section: Resultsmentioning

confidence: 99%

“…[9,[27][28][29][30][31]35,37,39,40,46,48] There were four (10.0%) prospective studies, [38,42,47,49] all of which were published in the last three and a half decades of the study. Eleven emanated from Nigeria, [11,20,23,26,31,[33][34][35]43,45,48] 6 (15.0%) from South Africa, [15,18,24,29,37,39] 5 (12.5%) from Egypt, [32,38,42,47,49] 4 (10.0%) each from Tanzania [9,17,28,44] and Zimbabwe, [12,13,21,22] 3 (7.5%) from Uganda, [14,16,19] 2 (5.0%) each from Cameroon, [41,…”

Section: Resultsmentioning

confidence: 99%

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Trends in the publication of infantile hypertrophic pyloric stenosis in Africa: A systematic review

Ogundoyin

Ajao

2021

ANMRP

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There are still global variations in the epidemiology of infantile hypertrophic pyloric stenosis, although the clinical presentations may be similar. Outcome of management, however, may depend on the degree of evolution of management of the anomaly. This review aimed at evaluating the trends of reporting of infantile hypertrophic pyloric stenosis from Africa. An evaluation of all publications from Africa on infantile hypertrophic pyloric stenosis focusing on epidemiology, evolution of management of the anomaly was carried out. Literature search of all publications from Africa on Infantile hypertrophic pyloric stenosis was conducted from January 1, 1951, to December 31, 2018. The articles were sourced from the databases of African Index Medicus, OvidSP, PubMed, African Journal Online, and Google Scholar. Extracted from these publications were information on the type of article, trend of reporting, the country of publication, demographic details of the patients, number of cases, clinical presentation, pre-operative management, type of surgical approach, and the outcome of management. Overall, 40 articles were published from 11 countries. Of these, 16 (40.0%) were published in the first 35 years (Group A, 1951–1985) and 24 (60.0%) published in the later 33 years (Group B, 1986– 2018). Case reports 8 (20.0%) and case series 5 (12.5%) were predominant in Group A, whereas retrospective studies 12 (30.0%) predominated in Group B. The countries of publication included Nigeria (27.5%), South Africa (15.0%), Egypt (12.5%), Tanzania (10.0%), and Zimbabwe (10.0%). A total of 811 patients diagnosed and managed for infantile hypertrophic pyloric stenosis (IHPS) were reported. Their ages ranged from 1 day to 1 year with an incidence that ranged from 1 in 550 to 12.9 in 1000. There were 621 boys and 114 girls (M:F – 5.5:1). All the patients were breastfed with an average birth rank incidence of 42.4% among firstborns, 19.5% in second borns, 15.2% in third borns, 13.2% among fourth borns, and 10.0% among fifth borns and beyond. Associated congenital anomalies were reported in 5 (12.5%) studies with an incidence of 6.9–20% occurring in a total of 28 patients. All but 3 (7.5%) studies reported that open surgery was adopted to perform Ramstedt’s pyloromyotomy on the patients. Reported post-operative complications include mucosal perforation in 8 (20.0%) studies, surgical site infection in 7 (17.5%), gastroduodenal tear 2 (5.0%), and hemorrhage and incisional hernia in 1 (2.5%) study each. Mortality was reported in 26 (65.0%) studies with a range of 1.8–50% and a mean mortality rate of 5.2%. There has been a change in the trend of reporting IHPS in Africa over the years, with increasing comparative studies on the modalities of management compared to case reports and series. Still very limited work has been done in the aspect of genetics and etiology of IHPS among Africans. There is a need to increase funding in this regard and to encourage multi-center collaborations in the study of this relatively rare condition.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Trends in the publication of infantile hypertrophic pyloric stenosis in Africa: A systematic review

Ogundoyin

Ajao

2021

ANMRP

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“…For instance, classic presentations of Hirschprung's disease are abdominal distention and vomiting (Gunnarsdóttir & Wester, 2011), whereas atypical presentations found by Nofech-Mozes et al (2004) are failure to gain weight, constipation, and lack of appetite. Pyloric stenosis presents with nonbilious vomiting, which may or may not be projectile, as well as dehydration, constipation, failure to gain weight, and peristaltic movements of the abdomen (Ogunlesi et al, 2016). Infants with GERD might present with poor weight gain, vomiting, abdominal pain, and inflammation of the esophagus (Rudolph et al, 2001).…”

Section: Bilious Emesismentioning

confidence: 99%

Parental Concerns on Gastroesophageal Reflux

McFadden¹

2017

Clin Lactation

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Parents often perceive infant gastroesophageal reflux (GER) as a serious problem. Frequently, GER is explained as a normal process, but there are instances where parents’ concerns are valid. Provided are 3 case studies from the private practice of an IBCLC. Each case initially presented with what sounded like normal infant GER. Upon further evaluation, with close follow-up and more detailed history taking, each case required advanced medical attention. These cases highlight the unique role of the IBCLC in helping to assess GER, the value of working as a team member with baby’s physicians, and the importance of listening carefully to parental instincts and concerns.

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Infantile Hypertrophic Pyloric Stenosis: An Epidemiological Review

Galea¹,

Said²

2018

Neonatal Network

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Infantile hypertrophic pyloric stenosis (IHPS) is the most common gastrointestinal disease among infants. IHPS occurs as an isolated condition or together with other congenital anomalies. Association with genetic and environmental factors, bottle feeding, younger maternal age, maternal smoking, and erythromycin administration in the first two weeks of life has been shown. Familial aggregation has been described and a family history is seen in 47.9 percent of siblings. Infants typically present with projectile vomiting associated with symptoms of failure to thrive. An olive-like mass palpable in the right upper abdominal quadrant is being reported less frequently because of earlier diagnosis by ultrasound. IHPS is generally corrected through laparoscopic pyloromyotomy. Endoscopic pyloric balloon dilation is a novel alternative. Further studies on different populations, the general population, and familial segregation to determine the prevalence, influence, and mode of familial aggregation and correlation with environmental factors are needed to determine the etiology of IHPS.

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Infantile hypertrophic pyloric stenosis with unusual presentations in Sagamu, Nigeria: a case report and review of the literature

Cited by 3 publications

References 5 publications

Trends in the publication of infantile hypertrophic pyloric stenosis in Africa: A systematic review

Trends in the publication of infantile hypertrophic pyloric stenosis in Africa: A systematic review

Parental Concerns on Gastroesophageal Reflux

Infantile Hypertrophic Pyloric Stenosis: An Epidemiological Review

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