Pyloric Hypertrophy in the Adult

Adult Idiopathic Hypertrophic Pyloric Stenosis

“…5,13,14 Loop gastrojejunostomy alone allows for bypass of the affected area but does not directly address the disease process and is also associated with complications unique to the operation, such as afferent limb syndrome, and bile reflux gastritis. [15][16][17][18] Pyloromyotomy has been effective in children with hypertrophic pyloric stenosis, but may also predispose patients to unwanted sequelae, such as mucosal laceration, pyloric scarring, and formation of diverticula. 15 A less commonly used procedure, partial gastrectomy (with Billroth I or II anastomoses), has also been described.…”

Simple and complicated hypertrophic pyloric stenosis in the adult

“…On section the obvious change is hypertrophy of the circular muscle layer (Fig. 3), but occasionally the longitudinal muscle may also show moderate hypertrophy (North and Johnson, 1950).…”

“…With the 64 records collected from, or added to, the literature by North and Johnson (1950), these authors reviewed a further 56 reported since 1950, as well as adding two new case histories. Three further examples recorded by McNaught (1957), five by Feraru, Rosemond, Irons, and Zaino (1961), one by Woo-Ming, (1961), and one by McLaughlin and Madding (1962) bring the total so far described to 132.…”

Les sténoses pyloriques non néoplasiques de l’adulte

“…Plusieurs auteurs rapportent dans l'anamnèse de leurs malades, l'existence d'un syndrome sub-sténosant dans l'enfance: 25% selon North et Johnson [23]. Personnellem ent, nous n'avons pas pu retrou ver ce syndrome, le témoignage des parents de nos malades faisant défaut.…”

“…-la simple dilatation du pylore est abandonnée car elle est suivie de récidive: Nortli et Johnson [23].…”