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
Keywords
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