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Infantile Hypertrophic Pyloric Stenosis

Other Title
영아 비후성 유문협착증
Authors
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
Citation
Soa oekwa, 4(2):149-155, 1998
Journal Title
Soa oekwa; Journal of Korean Association of Pediatric Surgeons; 소아외과
ISSN
1225-9047
Abstract
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

cases.
Keywords
Infantile hypertrophic pyloric stenosis
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Surgery
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