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Unique Considerations in the Infant and Neonate: Pyloric Stenosis

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Guide to Pediatric Urology and Surgery in Clinical Practice

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Abstract

Pyloric stenosis is a pediatric surgical condition of uncertain aetiology commonly affecting infants at approximately 5 weeks of age. Hypertrophy of the pyloric muscle results in obstruction causing milky vomiting after feeds, leading to electrolyte disturbance, dehydration and weight loss. Examination findings are visible peristalsis and a palpable ‘olive’ in the epigastrium. Diagnosis can be confirmed by ultrasound scan and confirmation of a metabolic alkalosis on blood gas. Once the electrolyte disturbances are corrected, definitive management is pyloromyotomy, either by a supraumbilical or laparoscopic approach.

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Authors and Affiliations

  1. Great Ormond Street Hospital for Children, London, UK

    Charlotte Holbrook & Joseph Curry

Authors
  1. Charlotte Holbrook
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  2. Joseph Curry
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Correspondence to Charlotte Holbrook .

Editor information

Editors and Affiliations

  1. Sheffield Children’s NHS Foundation Trust, Sheffield, UK

    Prasad P. Godbole

  2. Pediatric Urology, The Children’s Hospital, Aurora, CO, USA

    Duncan T. Wilcox

  3. Pediatric Urology, M-299, Hospital for Sick Children, Toronto, ON, Canada

    Martin Koyle

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Holbrook, C., Curry, J. (2020). Unique Considerations in the Infant and Neonate: Pyloric Stenosis. In: Godbole, P., Wilcox, D., Koyle, M. (eds) Guide to Pediatric Urology and Surgery in Clinical Practice. Springer, Cham. https://doi.org/10.1007/978-3-030-24730-0_24

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  • DOI: https://doi.org/10.1007/978-3-030-24730-0_24

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-24729-4

  • Online ISBN: 978-3-030-24730-0

  • eBook Packages: MedicineMedicine (R0)

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