Infantile hypertrophic pyloric stenosis (IHPS) is one of the most common gastrointestinal disorders requiring abdominal surgery in infancy. Whilst the operation is relatively routine and complications are low in developed countries, in resource poor settings, the condition can be fatal due to lack of paediatric surgeons and neonatal aneasthetists in most hospitals. However, current WHO guidance...

We present 40 patients operated consecutively for pyloric stenosis during an 8-year period (1981-88). The most common symptom was projectile vomiting, which occurred in 92.5% of the cases. On examination only three patients had a palpable hypertrophic pylorus. In 39 patients, a preoperative x-ray examination with contrast was necessary to confirm the diagnosis. A pyleromyotomy was performed in ...

In a recent report, Carter and Powell (1954) recorded 12 examples of pyloric stenosis in parent and child, and drew attention to the increased risk of the disease in offspring of parents who were themselves affected. In examining their observations we noted that the risk to the child seemed to be greater if the affected parent was the mother; but the number of cases was small, and the matter ev...

Infantile hypertrophic pyloric stenosis is a common condition affecting young infants; despite its frequency, it has been recognized only for a little over a century, and its etiology remains unknown. Nevertheless, understanding of the condition and of effective treatment have undergone a remarkable evolution in the 20th century, reducing the mortality rate from over 50% to nearly 0%. The lesio...

It would seem, from the studies of Carter and Powell (1954) and of McKeown, MacMahon and Record (1952), that both genetic and environmental factors play a part in the aetiology and development of infantile pyloric stenosis. The latter group of workers have stressed the importance of postnatal environmental influences. Their studies, based on data derived from more than 1,000 cases treated in th...

Kimberly J. Kolkhorst, DO Jeffrey Gill, MD, University of South Florida, Department of Gastroenterology, Tampa, Florida We report the case of a 62-year-old female with a history migraines and non-steroidal anti-inflammatory drug (NSAID) use who presented to the emergency department with epigastric abdominal pain associated with intermittent nausea and vomiting for two months. Initial esophagoga...

Simple, primary, or idiopathic hypertrophy of the pyloric muscle in the adult resembles the congenital pyloric hypertrophy of infants, and no associated lesion, such as a peptic ulcer, is apparent. The hypertrophy, which narrows and elongates the pyloric canal, is limited to the muscle of the pyloric sphincter and, most commonly, mainly involves the circular muscle; sometimes it is focal. The c...

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 of pyloric stenosis from May 1993...