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Pyloric stenosis: evolution from pylorospasm?

dc.contributor.authorWesley, John R.en_US
dc.contributor.authorDiPietro, Michael A.en_US
dc.contributor.authorCoran, Arnold G.en_US
dc.date.accessioned2006-09-11T18:41:22Z
dc.date.available2006-09-11T18:41:22Z
dc.date.issued1990-11en_US
dc.identifier.citationWesley, John R.; DiPietro, Michael A.; Coran, Arnold G.; (1990). "Pyloric stenosis: evolution from pylorospasm?." Pediatric Surgery International 5(6): 425-428. <http://hdl.handle.net/2027.42/47187>en_US
dc.identifier.issn1437-9813en_US
dc.identifier.issn0179-0358en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/47187
dc.description.abstractOver a 10-year period, we have performed pyloromyotomy on 260 infants with hypertrophic pyloric stenosis (HPS), 10 of whom had a history suggestive of pyloric stenosis but initially had neither the physical nor radiological findings to confirm the diagnosis. All 10 demonstrated pylorospasm on upper gastrointestinal series (UGIS), were treated medically without improvement, and subsequently developed classic HPS confirmed by repeat UGIS. Age at diagnosis ranged from 3 to 16 weeks (mean 8 weeks). Vomiting was progressively more projectile and severe from the onset until diagnosis and operation, with a duration of 5–50 days (mean 24 days). In 9 of the 10 patients a second UGIS demonstrated the diagnostic signs of HPS in 8 and suggested an antral web in the 9th. The interval between the two UGIS ranged from 2 to 46 days (mean 13 days). The 10th patient had a palpable hypertrophic pyloric muscle 9 days after the first UGIS and was operated upon without a follow-up UGIS. All 10 patients had classic HPS at operation. We conclude that although most infants with pylorospasm on UGIS improve with medical management, a small but significant number go on to develop HPS. Awareness of this variant of pyloric stenosis and appropriate follow-up UGIS will help to avoid undue delay in correctly diagnosing infants with persistent non-bilious vomiting.en_US
dc.format.extent1205687 bytes
dc.format.extent3115 bytes
dc.format.mimetypeapplication/pdf
dc.format.mimetypetext/plain
dc.language.isoen_US
dc.publisherSpringer-Verlagen_US
dc.subject.otherPediatricsen_US
dc.subject.otherEvolutionen_US
dc.subject.otherSurgeryen_US
dc.subject.otherPediatric Surgeryen_US
dc.subject.otherMedicine & Public Healthen_US
dc.subject.otherPyloric Stenosisen_US
dc.subject.otherPylorospasmen_US
dc.titlePyloric stenosis: evolution from pylorospasm?en_US
dc.typeArticleen_US
dc.subject.hlbsecondlevelPediatricsen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationumSection of Pediatric Surgery, and Section of Pediatric Radiology, C. S. Mott Children's Hospital, and the University of Michigan Medical School, Ann Arbor, Michigan, USA; Section of Pediatric Surgery, University of Michigan F7516 Mott Children's Hospital, Box 0245, 48 109-0245, Ann Arbor, MI, USAen_US
dc.contributor.affiliationumSection of Pediatric Surgery, and Section of Pediatric Radiology, C. S. Mott Children's Hospital, and the University of Michigan Medical School, Ann Arbor, Michigan, USAen_US
dc.contributor.affiliationumSection of Pediatric Surgery, and Section of Pediatric Radiology, C. S. Mott Children's Hospital, and the University of Michigan Medical School, Ann Arbor, Michigan, USAen_US
dc.contributor.affiliationumcampusAnn Arboren_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/47187/1/383_2004_Article_BF00174341.pdfen_US
dc.identifier.doihttp://dx.doi.org/10.1007/BF00174341en_US
dc.identifier.sourcePediatric Surgery Internationalen_US
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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