This study aimed to evaluate the effectiveness of oral atropine in the management of IHPS. Cases were diagnosed clinically and confirmed sonographically. Atropine was given orally from the outset at a dose of 0.18 mg/kg/day in eight divided doses, increased daily by 1/4th of the commencing dose till vomiting ceased. Ultrasonographic evaluation of pyloric muscle thickness and length was done at ...

The patient was a 56-year-old woman who had experienced epigastralgia and dorsal pain several times over the last 20 years. She was admitted for a diagnosis of acute cholecystitis, and severe intra- and extrahepatic bile duct dilatation with inner air density was noted. No papilla of Vater was present in the descending duodenum, and 2 small holes were present in the pyloric ring. Bile excretion...

By incision of the pyloric muscle and “plastic” reconstruction of the pyloric channel, pyloroplasty facilitates gastric emptying when the gastric outlet is obstructed either mechanically by ulcer, stenosis, or hypertrophy, or functionally by antropyloric vagotomy. First described by Heineke in 1886 and by Mikulicz in 1888, the Heineke-Mikulicz technique is still considered the principal pylorop...

BACKGROUND Ultrasound guidelines for hypertrophic pyloric stenosis (HPS) have fixed minimum measurements and do not account for variation in patient weight or age. We sought to determine if preoperative pyloric measurements correlated with weight and age in patients with surgically proven HPS. METHODS A retrospective analysis was conducted of 189 patients with HPS treated at a single institut...