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Hypertrophic pyloric stenosis (HPS)

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Hypertrophic pyloric stenosis (HPS)

Hypertrophic pyloric stenosis (HPS)A functional gastric outlet obstruction.Hypertrophy and hyperplasia of the muscular layers of the pylorus. Most common cause of gastric outlet obstruction and the most common surgical cause of vomiting in infants.Common age2-8 weeksRare>6 months.

PathphysiologyDiffuse Hypertrophy and hyper plasia of pyloris.Circular muscle hypertrophy.EtiologyUnknownHypergasrinemia. Prostaglandins Nitric oxide.Abnormalities in Myenteric plexus innervation.

Association: Esophageal Atresia & Malrotation(5%).DiagnosisNon bilious projectile Vomiting.Hynger child.Weight Loss.Dehydration.Lethargic.Altered Bowel Habits.Physical ExaminationVisible perstalsis after feeding.Palpable mass in epigatrium.Investigations Biochemical workupHypochloremic hypokalemic hyponatremic metabolic alkalosis.ImagingPlain XrayDilated StomachUltrasound90-100% sensitiveMuscle thickness> 4mmPyloric length>15mmPyloric diameter>10mm

Upper GI StudyString sign.Shoulder sign.

Differential DiagnosisGastroesophageal Reflux.Gastroenteritis.Pyloric Atresia.Amtral web.Duodenal Atresia.Malrotaion.CNS LesionPyloric spasm ICPMetabolic Disorders.

ManagementSurgery is not emergency.Initial stabilizationCorrect eletcrolytes imbalance.Corect dehydration.Adequat urin output (1ml/kg/hour)Surgical Treatment


Case conference - Naresuan University · 2015. 9. 7. · • case term male newborn 38+3 weeks, c/s due to ... • no evidence of hypertrophic pyloric stenosis. management • npo

American Academy of Pediatrics - Pyloric Stenosis: National ......Infantile hypertrophic pyloric stenosis (IHPS) is the most common reason for abdominal surgery in the first 6 months

RADIOLOGY IN THE DIAGNOSIS OF HYPERTROPHIC PYLORIC … · pyloric stenosis) is not empty after three or four hours.' Teal (1933) also considers that ' the results ofthe radiological

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Pathophysiology of Hypertrophic Pyloric Stenosis Revisited ... · 2] = 0.45 × BL [cm]/creatinine [mg/dl] (creatinine [mg/dl] = µmol/l/88.4). 2.1. Limits The presented study has

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Induction of pyloric hypertrophy by pentagastrinGut, 1976, 17, 280-284 Induction ofpyloric hypertrophy bypentagastrin Ananimal modelfor infantile hypertrophic pyloric stenosis J. A

Hypertrophic Pyloric Stenosis - advancedradteaching.comadvancedradteaching.com/teachingfiles/15.pdf · Hypertrophic pyloric stenosis (HPS) Discussion HPS is related to hypertrophy

JULY, PREGNANCY: 205 · Hypertrophic pyloric stenosis is one of those fortunate conditions which has an infallible sign, whenthe condition has becomewell established, viz., the presence

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Hypertrophic Pyloric Stenosis in Infants Following ... · 11/28/1999 · Hypertrophic Pyloric Stenosis in Infants ... 1117 Hypertrophic Pyloric Stenosis in Infants Following Pertussis

dJ J! problems... · Esophageal atresia TB malformation 00 Chalasia Hiatus hernia Esophageal stenosis Hypertrophic pyloric stenosis 1.2 Extrensic causes vascular ring Duplication

Presentation1, radiological imaging of hypertrophic pyloric stenosis

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A Sonographic walk-through: Infantile Hypertrophic … Review sonographic anatomy of normal and abnormal pylorus Illustrate technical approach to pyloric ultrasound Describe tips &

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Postoperative ultrasonography changes of the … ARTICLE Postoperative ultrasonography changes of the pylorus in infants with hypertrophic pyloric stenosis Mohamed A. Eltomey a, *,

STENOSIS PYLORIC HYPERTROPHIC...HYPERTROPHIC PYLORIC STENOSIS Mohammad Damseh an enlarged, thickened, "olive-shaped," non-tender pylorus may be palpable in the epigastrium. The primary

Hypertrophic Pyloric Stenosis: Use ofthe Pyloric … J.Westra, MD #{149}Cornelis J.deGroot, MD, PhD #{149}Nico J.Smits, MD #{149}Chris R.Staalman, MD Hypertrophic Pyloric Stenosis:

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Infantile Hypertrophic Pyloric Stenosis Surgery versus ...medcraveonline.com/JPNC/JPNC-04-00143.pdfmanagement of infantile hypertrophic pyloric stenosis (IHPS). Methods: Thirty-eight

The enteric nervous system and … 2012...motor functions of the digestive tract include esophageal achalasia, gastroparesis, hypertrophic pyloric stenosis and intestinal pseudo obstruction

GENETIC AND EPIDEMIOLOGICAL STUDIES OF INFANTILE HYPERTROPHIC PYLORIC STENOSIS · 2017. 4. 20. · ABSTRACT Infantile Hypertrophic Pyloric Stenosis (IHPS) is a condition of early

Infantile Hypertrophic Pyloric Stenosis -Clinical Differences … · 2018. 10. 15. · fants with pyloric stenosis, and determine the appropriate diagnostic methods for early diagnosis

1 . In a case of hypertrophic pyloric stenosis, the

HYPERTROPHIC PYLORIC STENOSIS IN INFANCY TREATED … · PYLORIC STENOSIS TREATED WITHMETHYL SCOPOLAMINENITRATE 379 (1) From March, 1949 to March, 1950, every case irrefutably diagnosed

Laparoscopic Vs Open Pyloromyotomy for Infantile ... · extramucosalpyloromyotomies(LP) between 2011-2016 was done with open pyloromyotomies (OP) ... Hypertrophic pyloric stenosis

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