Ultrasonography of pylorospasm: findings may simulate hypertrophic pyloric stenosis.

Cohen, Harris L.; Zinn, Harry L.; Haller, Jack O.; Homel, Peter; Stoane, Jason M.

doi:10.7863/jum.1998.17.11.705

Cited by 63 publications

(23 citation statements)

References 18 publications

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“…Besides these signs, there is also a sonographic double-track sign for the diagnosis of IHPS, but it was reported to be seen in cases of pylorospasm, too [28]. However, image or measurement variability is an important clue for diagnosing pylorospasm [29]. In a vomiting infant GER can be diagnosed using US [30], as we could do this in our study.…”

Section: Discussionsupporting

confidence: 52%

The use of ultrasonography in infantile hypertrophic pyloric stenosis: do the patientâ€™s age and weight affect pyloric size and pyloric ratio?

et al. 2015

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Aims: We aimed to obtain pyloric measurements of our patients with infantile hypertrophic pyloric stenosis (IHPS) using ultrasonography (US) and to evaluate the correlations between age, weight and pyloric size, pyloric ratio (PR). Material and methods: We designed a retrospective study including 20 term infants with surgically proven IHPS and studied the ultrasonographically obtained pyloric muscle thickness (PMT), pyloric diameter (width) (PD), pyloric length (PL) and PR (PMT/PD) to determine if there were statistically significant associations between patient age/weight and pyloric measurements. Results: The mean age of the infants was 38.7±17.3 days (range, 9-76 days) and their mean weight was 3688.5±772.7 g (range, 2810-6000 g), at referral. Mean PMT was 4.98±1.04 mm (range, 3.5-6.8 mm). Mean PD was 14.04±2.39 mm (range, 10-18 mm). Mean PL was 22.16±4.02 mm (range, 16-31.5 mm) and mean PR was 0.35±0.04 (range, 0.29-0.42). The correlation between age and PMT (r=0.654, p<0.05) and the correlation between age and PD (r=0.747, p <0.05) were significant. Age and weight were not significantly correlated with PR (p>0.05). Conclusions: The PMT and PD are age dependent parameters. The PR is age and weight independent and therefore, when combined with PMT, PD and PL, it can be useful in the diagnosis of IHPS in infants with early onset disease and/or in those with a lower weight.

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Section: Discussionsupporting

confidence: 52%

The use of ultrasonography in infantile hypertrophic pyloric stenosis: do the patientâ€™s age and weight affect pyloric size and pyloric ratio?

et al. 2015

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“…Image or measurement variability is an important clue for diagnosing pylorospasm. 5 Sonography can also determine whether deformity detected after surgery is due to residual hypertrophy. Usually muscle regresses to its normal thickness in 6 weeks or less.…”

Section: Hpsmentioning

confidence: 99%

Sonography in the diagnosis of pediatric gastrointestinal obstruction

Chavhan

Masrani

Thakkar

et al. 2004

J of Clinical Ultrasound

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“…During this development, spasm of the pyloric muscle is known to simulate pyloric stenosis, even before the pyloric sphincter is fully formed [17,18].…”

Section: Discussionmentioning

confidence: 99%

EsoTensive Colic: The Screaming Infant

Dg¹

2017

J Gastrointest Dig Syst

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Background: Infantile Colic is considered a benign process in which an infant has paroxysms of inconsolable crying for more than three hours per day, more than three days per week, for longer than three weeks. It affects approximately 10% to 40% of infants worldwide and peaks at around six weeks of age, with symptoms resolving by three to six months of age. The incidence is equal between the sexes, and there is no correlation with the type of feeding (breast vs. bottle), gestational age, or socio-economic status. Some colicky infants have attacks of screaming with associated motor behaviours such as flushed face, furrowed brow, clenched fists and legs pulled up to the abdomen. Crying occurs in prolonged bouts. The infants do not respond to normal comforting techniques. Crying onset is unpredictable, spontaneous and unrelated to environmental events. The cause of infantile colic is unknown. It is proposed that there is a form of infant colic, resulting from Mallory Weiss tears near the esophageousstomach junction, caused by distension of the stomach cardiac orifice during vomiting.

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Ultrasonography of pylorospasm: findings may simulate hypertrophic pyloric stenosis.

Cited by 63 publications

References 18 publications

The use of ultrasonography in infantile hypertrophic pyloric stenosis: do the patientâ€™s age and weight affect pyloric size and pyloric ratio?

The use of ultrasonography in infantile hypertrophic pyloric stenosis: do the patientâ€™s age and weight affect pyloric size and pyloric ratio?

Sonography in the diagnosis of pediatric gastrointestinal obstruction

EsoTensive Colic: The Screaming Infant

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