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Abstract

Pyloric stenosis is a common pediatric surgical emergency commonly seen in the first 2 months of life. Child presents with classical metabolic derangement in the form of hypochloremic, hyponatremic metabolic alkalosis. Clinically, a pyloric ‘tumor’ can be identified usually by test feed. More recently, ultrasound is used more regularly to identify the condition. A ‘pyloric index’ is identified to diagnose the condition by ultrasound. Pyloromyotomy is the treatment of choice and can be performed by open or laparoscopic technique.

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References

  1. Molenaar JC, Tibboel D, van der Kamp AW, Meijers JH. Diagnosis of innervation-related motility disorders of the gut and basic aspects of enteric nervous system development. Prog Pediatr Surg. 1989;24:173–85.

    Google Scholar 

  2. Dieler R, Schroder JM. Myenteric plexus neuropathy in infantile hypertrophic pyloric stenosis. Acta Neuropathol. 1989;78(6):649–61.

    Article  PubMed  CAS  Google Scholar 

  3. Nielsen JP, Haahr P, Haahr J. Infantile hypertrophic pyloric stenosis. Decreasing incidence. Dan Med Bull. 2000;47(3):223–5.

    Google Scholar 

  4. Cameron HC. Lumleian Lectures ON SOME FORMS OF VOMITING IN INFANCY: delivered before the Royal College of Physicians of London, March–April, 1925. Br Med J. 1925;1(3357):815–20.

    Google Scholar 

  5. Krogh C, Fischer TK, Skotte L, Biggar RJ, Oyen N, Skytthe A, et al. Familial aggregation and heritability of pyloric stenosis. JAMA 2010;303(23):2393–9.

    Google Scholar 

  6. Svenningsson A, Sodenhall C, Persson S, et al. Genome-wide linkage analysis in families with infantile hypertropic pyloric stenosis indicates novel susceptibility loci. J Hum Genet. 2012;57(2): 115–121

    Article  PubMed  CAS  Google Scholar 

  7. Huang PL, Dawson TM, Bredt DS, Snyder SH, Fishman MC. Targeted disruption of the neuronal nitric oxide synthase gene. Cell 1993;75(7):1273–86.

    Google Scholar 

  8. Sorensen HT, Norgard B, Pedersen L, Larsen H, Johnsen SP. Maternal smoking and risk of hypertrophic infantile pyloric stenosis: 10 year population based cohort study. Br Med J. 2002;325(7371):1011–2.

    Article  Google Scholar 

  9. Krogh C, Biggar RJ, Fischer TK, Lindholm M, Wohlfahrt J, Melbye M. Bottle-feeding and the risk of pyloric stenosis. Pediatrics 2012;130(4):943–9.

    Article  Google Scholar 

  10. McAteer JP, Ledbetter DJ, Goldin AB. Role of bottle feeding in the etiology of hypertrophic pyloric stenosis. JAMA Pediatr. 2013;167(12):1143–9.

    Article  PubMed  Google Scholar 

  11. Krogh C, Gortz S, Wohlfahrt J, Biggar RJ, Melbye M, Fischer TK. Pre- and perinatal risk factors for pyloric stenosis and their influence on the male predominance. Am J Epidemiol. 2012;176(1):24–31.

    Article  PubMed  Google Scholar 

  12. Rose BD. Clinical Physiology of acid-base and electrolyte disorders. New York: McGraw Hill, 1994;94.

    Google Scholar 

  13. Rohrschneider WK, Mittnacht H, Darge K, Troger J. Pyloric muscle in asymptomatic infants: sonographic evaluation and discrimination from idiopathic hypertrophic pyloric stenosis. Pediatr Radiol. 1998;28(6):429–34.

    Article  PubMed  CAS  Google Scholar 

  14. Hussain M. Sonographic diagnosis of infantile hypertrophic pyloric stenosis- use of simultaneous grey-scale & colour doppler examination. Int J Health Sci (Qassim). 2008;2(2):134–40.

    Google Scholar 

  15. Said M, Shaul DB, Fujimoto M, Radner G, Sydorak RM, Applebaum H. Ultrasound measurements in hypertrophic pyloric stenosis: don’t let the numbers fool you. Perm J. 2012;16(3):25–7.

    PubMed Central  PubMed  Google Scholar 

  16. Hall NJ, Pacilli M, Eaton S, Reblock K, Gaines BA, Pastor A, et al. Recovery after open versus laparoscopic pyloromyotomy for pyloric stenosis: a double-blind multicentre randomised controlled trial. Lancet 2009;373(9661):390–8.

    Article  PubMed  Google Scholar 

  17. Lemoine C, Paris C, Morris M, Vali K, Beaunoyer M, Aspirot A. Open transumbilical pyloromyotomy: is it more painful than the laparoscopic approach? J Pediatr Surg. 2011;46(5):870–3.

    Google Scholar 

  18. Hulka F, Harrison MW, Campbell TJ, Campbell JR. Complications of pyloromyotomy for infantile hypertrophic pyloric stenosis. Am J Surg. 1997;173(5):450–2.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Ashish P. Desai .

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Sheth, S., Desai, A. (2016). Pyloric Stenosis. In: Guandalini, S., Dhawan, A., Branski, D. (eds) Textbook of Pediatric Gastroenterology, Hepatology and Nutrition. Springer, Cham. https://doi.org/10.1007/978-3-319-17169-2_4

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  • DOI: https://doi.org/10.1007/978-3-319-17169-2_4

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  • Publisher Name: Springer, Cham

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