39 211

Cited 0 times in

Infantile Hypertrophic Pyloric Stenosis

Other Title
영아 비후성 유문협착증
김, 인구; 김, 상윤; 김, 신곤; 김, 우기; 김, 재억; 김, 재천; 김, 현학; 박, 귀원; 박, 영식; 박, 우현; 송, 영택; 양, 정우; 오, 수명; 유, 수영; 이, 두선; 이, 명덕; 이, 석구; 이, 성철; 장, 수일; 정, 상영; 정, 을삼; 정, 풍만; 최, 금자; 최, 순옥; 최, 승훈; 허, 영수; 홍, 정; 황, 의호
Soa oekwa, 4(2):149-155, 1998
Journal Title
Soa oekwa; Journal of Korean Association of Pediatric Surgeons; 소아외과
Thirty three members of the Korean Association of Pediatric Surgeons were surveyed to determine the clinical manifestations and current management of infantile hypertrophic pyloric stenosis (IHPS). The members completed a registration form and a questionnaire that indicated their treatment preferences for patients treated during 1996. The response rate was 84.8% and 23 institutions participated. Three hundred and sixty-three cases of

IHPS were analysed. The male to female ratio was 5.15:1. The presenting symptoms

were nonbilious vomiting in 363 cases(100%), palpable mass in the upper abdomen in

200 cases(55.1%) and visible peristaltic waves in 67 cases(18.5%). Fluid therapy was

done in 161 cases(44.4%) for preoperative preparation. Twenty patients(5.5%) were

premature. There were 27 low birth weight babies(7.7%). The onset of symptoms

ranged from 1 to 14 weeks of age with a peak occurrence at 2 to 4 weeks of age. Two

hundred and thirty-six cases(66.6%) presented within 4 weeks of age. There was one set of male twins and a family history of twins. The modes of feedings were: breast

feeding; 69 cases(24.5%), formula feeding; 176 cases(62.4%) and mixed feeding; 37

cases(13.1%). The preferred diagnostic modalities were ultrasonography(US) 229

cases(63.1%), UGI series 27 cases(7.4%) and US and UGI series combined 86 cases(23.7%). Only 21 cases(5.8%) were operated on without imaging study, ie. with positive physical finding. Perforation of the mucosa during pyloromytomy occurred in 5 cases. All were treated successfully with primary closure. Persistent vomiting over 2 weeks after operation were reported in 5 cases. Three wound infections, one aspiration

pneumonia and one postoperative bleeding were reported. There was no mortality in 363

Infantile hypertrophic pyloric stenosis
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Surgery
Full Text Link
Files in This Item:
fulltext not available.txtDownload
RIS (EndNote)
XLS (Excel)


해당 아이템을 이메일로 공유하기 원하시면 인증을 거치시기 바랍니다.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.