A Clinical and Study and Management of Idiopathic Hypertrophic Pyloric Stenosis
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 7
Abstract
Idiopathic Hypertrophic Pyloric Stenosis (IHPS) is one of the causes for vomiting in the newborn. The treatment of this condition had high mortality and morbidity until Ramstedt’s showed that pyloromyotomy surgery was curative with no mortality and morbidity. Our aim was to study the clinical course of IHPS, the management and outcome of these cases. A prospective study was conducted between December 2015 to July 2017 over 50 cases, admitted in our health services. After subjecting the patient to clinical examination and investigation for confirming the diagnosis, all were subjected to Ramstedt ‘s pyloromyotomy. In the study of 50 cases; the age of the infants ranged from 2 weeks to 12 weeks. Maximum number of cases i.e., 20 (40%) were between 2 to 4 weeks of age. The condition was more common among males than in females with a ratio of 4:1. All the patients presented with vomiting and visible peristalsis dehydration was seen in 42(84%) cases, palpable lump in 34 (68%) cases. Ultrasound abdomen was the investigation of choice and as done in all infants. The pyloric muscle thickness of >3mm was considered diagnostic. Barium meal and air contrast x-ray were other investigation carried out. After correcting the dehydration all the patients were subjected to Ramstedt’s Pyloromyotomy. Ramstedt’s pyloromyotomy is a curative treatment with no mortality and very low morbidity.
Authors and Affiliations
Dr. Basvantrao Patil, Dr. Sharanabasappa Harwal, Dr. Amey Talpallikar
Adverse Cutaneous Drug Reactions: Clinical Patterns & Its Impact on the Quality of Life. A Two Year Survey at Dermatology out Patient Clinic of Tertiary Care Hospital
Adverse cutaneous drug reactions (ACDR) are an important clinical entity seen in dermatology outdoor patient practice and it form a major cause of patient’s morbidity & mortality. Our objective was to evaluate the differ...
Estimation of Renal Function on Early Onset Neonatal Sepsis Patients` Admitted To Omdurman Pediatrics Hospital-Sudan
Abstract: Neo-natal sepsis is a blood infection that occurs in infants younger than 90 days old. It occurs in 1 to 8 per 1000 live birth with highest incidence occurring among infants of very low birth weight. Neo-natal...
Correlation of Percutaneous Length of Tibia with Body Height and Estimation of Stature in Living North Indian Males
Stature reconstruction is important as it provides a forensic anthropological estimate of the height of a person in the living state, playing a vital role in identification of individuals from grossly mutilated skeletal...
Study of Cervical Length Measurement by Transvaginal Sonography in Prediction of Mode of Delivery at Term
To evaluate the predictive accuracy of transvaginal ultrasound cervical length measurement for prediction of mode of delivery at term. 140 singleton low risk primigravida with term gestation cephalic presentation were en...
Prevalence of Thyroid Dysfunction among Pregnant Women in a Rural Teaching Hospital in Telengana, South India
Thyroid dysfunction is one of the commonest endocrinological problems in pregnanacy and affects both maternal and fetal outcomes. There is a paucity of data available on its prevalence in Indian pregnant women. This stud...