Hypertrophic Pyloric Stenosis a Frequent Cause of Vomiting in Neonatal Age

Czech version

Authors: P. Gál ¹; Z. Doležel ²; F. Tecl ¹; V. Kališ ¹; L. Kopečná ²
Authors‘ workplace: Klinika dětské chirurgie a traumatologie FN Brno, 1přednosta doc. MUDr. F. Tecl, CSc. II. dětská interní klinika FN Brno, 2přednosta doc. MUDr. Z. Doležel, CSc.
Published in: Čes-slov Pediat 1999; (5): 190-195.
Category:

Overview

The authors present a retrospective analysis of 65 patients with hypertrophic stenosis of the pylorus treated atthe Clinic of Paediatric Surgery and Traumatology in Brno in 1992 - 1997. Familial, personal history data, clinicalsymptoms and ultrasonography findings were evaluated. The sex ratio of the group of patients monitored duringthe period was 4.9 : 1 (boys : girls), first symptoms were demonstrated most frequently during the fourth week oflife (average 30.5 ± 15.4 days). Infants with gradually intensifying vomiting (64.7 % children) prevailed. Palpablefindings, indicating suspicion of HPS, were positive only in 11 children (17 %). In order to specify the diagnosis ofHPS it is necessary to perform an ultrasonographic examination. Confirmed HPS was treated by surgicalintervention in all children.

Key words:
hypertrophic pyloric stenosis, vomiting, ultrasonography

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