Summary
This paper gives a brief review of congenital hypertrophic pyloric stenosis with a report on 441 consecutive cases coming to operation at The Hospital for Sick Children during 1957–60. The pathology, pathological physiology, and clinical features and preoperative treatment are outlined. The anaesthetic management of these cases is discussed in detail and our results reported.
Résumé
Nous avons présenté un bref aperçu de la stenose congenital hypertrophique du pylore. Quatre cent quarante-et-un cas consecutifs operés a l’Hospital for Sick Children depuis 1957 jusqu’à 1960 sont rapportés. La pathologie, la physiologie pathologie, les signs cliniques et le traitement pré-operatoire ont été décrit Une discussion detailée de ces cas, du point du vue anésthésique, et leurs résultats ont présentés.
Article PDF
Similar content being viewed by others
References
TellermaN, K.H. The Treatment of Congenital Hypertrophic Pyloric Stenosis. Proc. Roy. Soc. Med.44: 1053–1063 (1951).
Terezis, N.L.;Sieber, W.K.; &Kiesewetter, W.B. The Prognostic Significance of Electrolyte and Weight Studies in Congenital Hypertrophic Pyloric Stenosis. Surg., Gynec. & Obst.109: 482–486 (1959).
Pollock, W.F.;Norris, W.J.; &Gordon, H.E. The Management of Hypertrophic Pyloric Stenosis at the Los Angeles Children’s Hospital. Am. J. Surg.94: 335–349 (August, 1957).
Smith, C.A. The Physiology of the Newborn Infant, chap. IV. 3rd ed. Springfield, Ill.: Charles C. Thomas (1959).
Graham, G.R. Circulatory and Respiratory Physiology of Infancy and Childhood. Brit. J. Anaesth.32: 97–105 (1960).
Smith, C.A. The Physiology of the Newborn Infant, chap. III. 3rd ed. Springfield, Ill.: Charles C. Thomas (1959).
Anderson, W. A. D. Pathology, p. 763. 1st ed. C. V. Mosby & Co. (1953).
Congenital Hypertrophic Pyloric Stenosis. Henry Ford Hospital Med. Bull.10: 87–100 (March, 1962).
Greenan, J. The Cardioesophageal Junction. Brit. J. Anaesth.33: 432–439 (1961).
Longino, L.A.;Hendren,. W.H.; &Owings, R.S. Congenital Hypertrophic Pyloric Stenosis. Am. J. Surg.101: 605–609 (May, 1961).
Benson, C.D. &Aldern, E.B. Pre-operative and Post-operative Care of Congenital Hypertrophic Pyloric Stenosis. A.M.A. Arch. Surg.75: 877–879 (1957).
Browne, Denis. The Treatment of Congenital Hypertrophic Pyloric Stenosis. Proc. Roy. Soc. Med.44: 1053–1063 (1951).
Ruston, F.G. Epidural Anaesthesia in Infants and Children. Canad. Anaesth. Soc. J.1: 37–44 (1954).
Holt, L.E. &Howland, J. Diseases of Infancy and Childhood, p. 412. 11th ed. New York: D. Appleton-Century Co. Inc. (1939).
Stead, A.L. Response of Newborn Infant to Muscle Relaxants. Brit. J. Anaesth.27: 124–132 (1955).
Marriott, H.L. Water and Salt Depletion, p. 17. 1st ed. Springfield, Ill.: Charles C. Thomas (1950).
Craythorne, N.W.B.;Turndorf, H.; &Dripps, R.P. Changes in Pulse Rate and Rhythm Association with the Use of Succinyl Choline in Anaesthetized Children. Anaesthesia21: 465–470 (1960).
Barreto, R.S. Effect of Intravenously Administered Succinyl Choline upon Cardiac Rate and Rhythm. Anaesthesia21: 401–404 (1960).
Gross, R. E. The Surgery of Infancy and Childhood, p. 130. 1st ed. W. B. Saunders Company (1953).
Mostert, J.W. Unintentional Spread of Epidural Anaesthesia. Brit. J. Anaesth.32: 334–337 (1960).
Robinson, J.S. &Gray, T.C. Observations on the Cerebral Effects of Passive Hyperventilation. Brit. J. Anaesth.33: 62–68 (1961).
Smith, R. M. Anaesthesia for Infants and Children, p. 217. 1st ed. C. V. Mosby and Co. (1959).
Jenkins, I.R. Three Cases of Apparent Recurarization. Brit. J. Anaesth.33: 314–318 (1961).
Salawitre, E. &Rackow, H. Respiratory Complications Associated with the Use of Muscle Relaxants in Young Infants. Anaesthesia22: 194–198 (1961).
Harrison, G.G.;Bull, A.B.; &Schmidt, H.J. Temperature Changes in Children during General Anaesthesia, Brit. J. Anaesth.32: 60–68 (1960).
Davenport, M.T. &Rosales, J.K. Endotracheal Intubation of Infants and Children. Canad. Anaesth. Soc. J.6: 65–74 (1959).
Glauser, E.M.;Cook, C.D.; &Bougas, T.P. Pressure Flow Characteristics and Dead Space of Endotracheal Tubes Used in Infants. Anaesthesiology22: 339–341 (1961).
Moore, F. D. Metabolic Care of the Surgical Patient, p. 269. 1st ed. W. B. Saunders Company (1959).
Gillies, John. Clinical Medicine and Surgery in Anaesthesia. Canad. Anaesth. Soc. J.8: 195–209 (1961).
Backman, L. &Freeman, A. Cardiac Rate and- Rhythm in Infants during Induction of Anaesthesia with Cyclopropane—Atropine versus Scopolamine as Preanaesthetic Medication. J. Paed.59: 922 (1961).
Robson, G. Personal communication.
Rees, Jackson. Paediatric Anaesthesia. Brit. J. Anaesth.32: 132–140 (1960).
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Conn, A.W. Anaesthesia for pyloromyotomy in infancy. Can. Anaes. Soc. J. 10, 18–29 (1963). https://doi.org/10.1007/BF03020157
Issue Date:
DOI: https://doi.org/10.1007/BF03020157