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. 1988 Sep;63(9):1060–1064. doi: 10.1136/adc.63.9.1060

Recent results of treatment of infantile hypertrophic pyloric stenosis.

B Zeidan 1, J Wyatt 1, A Mackersie 1, R J Brereton 1
PMCID: PMC1779125  PMID: 3178265

Abstract

During the five year period December 1980 to November 1985, 106 infants with hypertrophic pyloric stenosis were treated. There were no operative deaths, but two late deaths occurred from associated abnormalities. The combination of preoperative rehydration, skilled anaesthesia, and the use of the Fredet-Ramstedt operation (pyloromyotomy) have virtually eliminated mortality from uncomplicated infantile hypertrophic pyloric stenosis. The most common complications were gastro-oesophageal reflux in 11 (11%), perforation of the duodenal fornix in nine (8%), and wound infection in five (5%); no wound dehisced.

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Selected References

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  1. Ahmed S. Infantile pyloric stenosis associated with major anomalies of the alimentary tract. J Pediatr Surg. 1970 Dec;5(6):660–666. doi: 10.1016/s0022-3468(70)80013-6. [DOI] [PubMed] [Google Scholar]
  2. Atwell J. D., Levick P. Congenital hypertrophic pyloric stenosis and associated anomalies in the genitourinary tract. J Pediatr Surg. 1981 Dec;16(6):1029–1035. doi: 10.1016/s0022-3468(81)80870-6. [DOI] [PubMed] [Google Scholar]
  3. BENSON C. D., ALPERN E. B. Preoperative and postoperative care of congenital pyloric stenosis. AMA Arch Surg. 1957 Dec;75(6):877–879. doi: 10.1001/archsurg.1957.01280180009002. [DOI] [PubMed] [Google Scholar]
  4. BENSON C. D., LLOYD J. R. INFANTILE PYLORIC STENOSIS. A REVIEW OF 1,120 CASES. Am J Surg. 1964 Mar;107:429–433. doi: 10.1016/0002-9610(64)90209-0. [DOI] [PubMed] [Google Scholar]
  5. Benson C. D. Infantile pyloric stenosis. Historical aspects and current surgical concepts. Prog Pediatr Surg. 1970;1:63–88. [PubMed] [Google Scholar]
  6. Bishop H. C., Filston H. C. An inversion-ligation technique for incidental appendectomy. J Pediatr Surg. 1973 Dec;8(6):889–892. doi: 10.1016/0022-3468(73)90006-7. [DOI] [PubMed] [Google Scholar]
  7. Bristol J. B., Bolton R. A. The results of Ramstedt's operation in a district general hospital. Br J Surg. 1981 Aug;68(8):590–592. doi: 10.1002/bjs.1800680821. [DOI] [PubMed] [Google Scholar]
  8. Carle G., Davidson A. I. Infantile pyloric stenosis in the north east of Scotland. Results of Ramstedt's operation in 264 cases. J R Coll Surg Edinb. 1985 Feb;30(1):30–33. [PubMed] [Google Scholar]
  9. Dougall A. J. Infantile pyloric stenosis. A review of 200 cases. Scott Med J. 1969 May;14(5):156–161. doi: 10.1177/003693306901400502. [DOI] [PubMed] [Google Scholar]
  10. FORSHALL I. The cardio-oesophageal syndrome in childhood. Arch Dis Child. 1955 Feb;30(149):46–54. doi: 10.1136/adc.30.149.46. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Gibbs M. K., Van Herrden J. A., Lynn H. B. Congenital hypertrophic pyloric stenosis. Surgical experience. Mayo Clin Proc. 1975 Jun;50(6):312–316. [PubMed] [Google Scholar]
  12. Gray D. W., Gear M. W., Stevens D. W. The results of Ramstedt's operation: room for complacency? Ann R Coll Surg Engl. 1984 Jul;66(4):280–282. [PMC free article] [PubMed] [Google Scholar]
  13. Gregory G. A., Steward D. J. Life-threatening perioperative apnea in the ex-"premie". Anesthesiology. 1983 Dec;59(6):495–498. doi: 10.1097/00000542-198312000-00002. [DOI] [PubMed] [Google Scholar]
  14. HAYES M. A., GOLDENBERG I. S. The problems of infantile pyloric stenosis. Surg Gynecol Obstet. 1957 Feb;104(2):105–138. [PubMed] [Google Scholar]
  15. Larsen G. L. Limitations of roentgenographic examination in the diagnosis of infantile hypertrophic pyloric stenosis. Surgery. 1966 Sep;60(3):768–772. [PubMed] [Google Scholar]
  16. Leahy A., Fitzgerald R. J. The influence of delayed feeding on postoperative vomiting in hypertrophic pyloric stenosis. Br J Surg. 1982 Nov;69(11):658–659. doi: 10.1002/bjs.1800691109. [DOI] [PubMed] [Google Scholar]
  17. Lunn J. N., Hunter A. R., Scott D. B. Anaesthesia-related surgical mortality. Anaesthesia. 1983 Nov;38(11):1090–1096. doi: 10.1111/j.1365-2044.1983.tb12486.x. [DOI] [PubMed] [Google Scholar]
  18. POLLOCK W. F., NORRIS W. J., GORDON H. E. The management of hypertrophic pyloric stenosis at the Los Angeles Childrens Hospital; a review of 1,422 cases. Am J Surg. 1957 Aug;94(2):335-48; discussion, 348-9. doi: 10.1016/0002-9610(57)90662-1. [DOI] [PubMed] [Google Scholar]
  19. Prosser R. Infantile hypertrophic pyloric stenosis. Surgery. 1965 Nov;58(5):881–883. [PubMed] [Google Scholar]
  20. Robertson D. E. CONGENITAL PYLORIC STENOSIS. Ann Surg. 1940 Oct;112(4):687–699. doi: 10.1097/00000658-194010000-00016. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Royer P., Ricour C., Nihoul-Fekete C., Pellerin D. Le syndrome familial de grêle court avec malrotation intestinale et sténose hypertrophique du pylore chez le nourrisson. Arch Fr Pediatr. 1974 Feb-Mar;31(2):223–229. [PubMed] [Google Scholar]
  22. SHOPFNER C. E., KALMON E. H., Jr, COIN C. G. THE DIAGNOSIS OF HYPERTROPHIC PYLORIC STENOSIS. Am J Roentgenol Radium Ther Nucl Med. 1964 Apr;91:796–800. [PubMed] [Google Scholar]
  23. STEINICKE O., ROELSGAARD M. Radiographic follow-up in hypertrophic pyloric stenosis (after medical and surgical treatment). Acta Paediatr. 1960 Jan;49:4–16. doi: 10.1111/j.1651-2227.1960.tb07699.x. [DOI] [PubMed] [Google Scholar]
  24. Schärli A. F., Leditschke J. F. Gastric motility after pyloromyotomy in infants. A reappraisal of postoperative feeding. Surgery. 1968 Dec;64(6):1133–1137. [PubMed] [Google Scholar]
  25. Schärli A., Sieber W. K., Kiesewetter W. B. Hypertrophic pyloric stenosis at the Children's Hospital of Pittsburgh from 1912 to 1967. A critical review of current problems and complications. J Pediatr Surg. 1969 Feb;4(1):108–114. doi: 10.1016/0022-3468(69)90190-0. [DOI] [PubMed] [Google Scholar]
  26. Spitz L. Vomiting after pyloromyotomy for infantile hypertrophic pyloric stenosis. Arch Dis Child. 1979 Nov;54(11):886–889. doi: 10.1136/adc.54.11.886. [DOI] [PMC free article] [PubMed] [Google Scholar]
  27. Tan K. C., Bianchi A. Circumumbilical incision for pyloromyotomy. Br J Surg. 1986 May;73(5):399–399. doi: 10.1002/bjs.1800730529. [DOI] [PubMed] [Google Scholar]
  28. Tunell W. P., Wilson D. A. Pyloric stenosis: diagnosis by real time sonography, the pyloric muscle length method. J Pediatr Surg. 1984 Dec;19(6):795–799. doi: 10.1016/s0022-3468(84)80371-1. [DOI] [PubMed] [Google Scholar]

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