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. 1991 Jan;66(1):130–133. doi: 10.1136/adc.66.1.130

Audit of results of operations for infantile pyloric stenosis in a district general hospital.

C A Eriksen 1, C J Anders 1
PMCID: PMC1793199  PMID: 1994841

Abstract

Because of the proposal that infants with hypertrophic pyloric stenosis should only be treated by surgeons with an interest in paediatric surgery, we carried out a retrospective study to audit our experience in a district general hospital. Forty six infants over a five year period underwent pyloromyotomy. There were no deaths, and 36 infants (78%) made uneventful recoveries. Perforation of the duodenal mucosa occurred during the operation in 11 patients, and eight complications developed in six of these infants. There were seven wound infections, and two patients had vomiting that lasted four days or longer after their operations. There were no long term feeding problems. The results of this study show that such patients can be successfully treated in district general hospitals, and three areas merit special attention: meticulous surgical technique, the use of prophylactic antibiotics, and early graduated feeding.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Breaux C. W., Jr, Georgeson K. E., Royal S. A., Curnow A. J. Changing patterns in the diagnosis of hypertrophic pyloric stenosis. Pediatrics. 1988 Feb;81(2):213–217. [PubMed] [Google Scholar]
  2. 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]
  3. Carver R. A., Okorie M., Steiner G. M., Dickson J. A. Infantile hypertrophic pyloric stenosis--diagnosis from the pyloric muscle index. Clin Radiol. 1987 Nov;38(6):625–627. doi: 10.1016/s0009-9260(87)80342-2. [DOI] [PubMed] [Google Scholar]
  4. Crowley W. F., Jr, Ridgway E. C., Bough E. W., Francis G. S., Daniels G. H., Kourides I. A., Myers G. S., Maloof F. Noninvasive evaluation of cardiac function in hypothyroidism. Response to gradual thyroxine replacement. N Engl J Med. 1977 Jan 6;296(1):1–6. doi: 10.1056/NEJM197701062960101. [DOI] [PubMed] [Google Scholar]
  5. Doig C. M., Wilkinson A. W. Wound infection in a children's hospital. Br J Surg. 1976 Aug;63(8):647–650. doi: 10.1002/bjs.1800630822. [DOI] [PubMed] [Google Scholar]
  6. 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]
  7. Habbick B. F., To T. Incidence of infantile hypertrophic pyloric stenosis in Saskatchewan, 1970-85. CMAJ. 1989 Feb 15;140(4):395–398. [PMC free article] [PubMed] [Google Scholar]
  8. Khamapirad T., Athey P. A. Ultrasound diagnosis of hypertrophic pyloric stenosis. J Pediatr. 1983 Jan;102(1):23–26. doi: 10.1016/s0022-3476(83)80280-7. [DOI] [PubMed] [Google Scholar]
  9. 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]
  10. 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]
  11. Rao N., Youngson G. G. Wound sepsis following Ramstedt pyloromyotomy. Br J Surg. 1989 Nov;76(11):1144–1146. doi: 10.1002/bjs.1800761111. [DOI] [PubMed] [Google Scholar]
  12. 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]
  13. 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]
  14. Zeidan B., Wyatt J., Mackersie A., Brereton R. J. Recent results of treatment of infantile hypertrophic pyloric stenosis. Arch Dis Child. 1988 Sep;63(9):1060–1064. doi: 10.1136/adc.63.9.1060. [DOI] [PMC free article] [PubMed] [Google Scholar]

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