Objectives-To assess the accuracy of clinical examination as compared with ultrasound imaging in the diagnosis of infantile hypertrophic pyloric stenosis. Duration of hospital stay, time between admission and surgery, and financial implications were also considered. Design-A prospective study of patients referred to the surgical team with a possible diagnosis ofpyloric stenosis from May 1993 to...

OBJECTIVE To evaluate the accuracy of Ultrasound in the diagnosis of Infantile Hypertrophic Pyloric stenosis, especially with simultaneous use of grey-scale & colour doppler examination of pylorus. METHODS Fifty two infants with suspected Infantile Hypertrophic Pyloric stenosis (IHPS) were evaluated with grey-scale and colour Doppler examination. The sonographic findings were categorized as p...

Introduction: Adult idiopathic hypertrophic pyloric stenosis (AIHPS) is a rare entity. The most common clinical symptom is abdominal distention relieved by vomiting. There are several treatment modalities for relief of the pyloric obstruction. Case Description/Technique: A 43-year-old woman presented with a long history of epigastric pain, nausea, vomiting, and bloating, which appeared to be ca...

Epidermolysis bullosa are a group of hereditary skin diseases manifested as blisters on the sites of trauma to the skin. According to the level of blister development, epidermolysis bullosa are divided into the following groups: epidermolysis bullosa simplex, junctional epidermolysis bullosa and dystrophic epidermolysis bullosa. The latter two groups are associated with poorer prognosis and hig...

Infantile hypertrophic pyloric stenosis (IHPS) is a condition affecting young infants, in which the antropyloric portion of the stomach becomes abnormally thickened and manifests as obstruction to gastric emptying. The clinical diagnosis hinges on palpation of the thickened pylorus, or “olive.” Abdominal palpation is accurate but not always successful, depending on factors such as the experienc...

IN pyloric stenosis, which usually occurs during the first 1–3 months of life, the circular muscle of the pyloris hypertrophies, the gastric outlet constricts andthen it isobstructed.This leads tononbilious,projectile vomiting,whichusuallyoccurs after feeding.Because of repeated episodes of vomiting, both hydrocholoric acid and fluids are lost, which leads to hypochloremic metabolic alkalosis. ...

In the last few years the author has treated forty consecutive cases of hypertrophic pyloric stenosis with eumydfin (atropine methyl nitrate), which was brought to the notice of paediatricians in this country by Svensgaard in 1935. The analysis of this series has brought out certain points, which, had the writer realized them in time, would have improved the results. These factors are here disc...

CONFEN~TAL hypertrophic pyloric stenosis has been linked with primogeniture in many reports since Still [l] first suggested that its incidence might be associated with birth rank. Principal contributors to this view are: Ford, Ross and Brown [2]; Cockayne and Penrose [3]; McKeown, MacMahon and Record [4, 51. Most recently this view has been advanced by Shim, Campbell and Wright [6]. These autho...

Two cases are described of hepatic fibropolycystic disease (Brunt, 1973). Both had neonatal pyloric stenosis, one craniostenosis and the other acromegaly and neuro-fibromatosis.

more popular, it affected bottle fed infants more than breast fed infants. The apparent correlation between incidence of IHPS and incidence of breast feeding may be coincidental and changes in infant milk formulae that became general in 1976 may be more important. An appreciable excess of first born infants with IHPS was noted but there was no correlation between birthweight and IHPS. Variation...