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Published on: January 17, 2011

Atropine sulphate: rescue therapy for pyloric stenosis

Richard Peter Owen1, Sarah L Almond, Gill M E Humphrey

  • 1Department of General Surgery, Arrowe Park Hospital, Liverpool, UK. richowen83@hotmail.com

BMJ Case Reports
|August 7, 2012
PubMed

Insights

Infantile hypertrophic pyloric stenosis (IHPS) can be complicated by incomplete surgery. This case study shows successful non-surgical management of IHPS with incomplete pyloromyotomy using atropine sulfate therapy.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Infantile hypertrophic pyloric stenosis (IHPS) causes gastric outlet obstruction, treated surgically with pyloromyotomy.
  • Incomplete pyloromyotomy occurs in 0.3% of cases, requiring reoperation.
  • Medical management with antimuscarinics is an alternative but often requires prolonged hospitalization.

Purpose of the Study:

  • To describe a case of IHPS with incomplete pyloromyotomy.
  • To highlight the successful medical management of this complication.

Main Methods:

  • A case of IHPS with incomplete pyloromyotomy was identified.
  • The patient was treated with atropine sulfate therapy.

Main Results:

  • Successful management of IHPS following incomplete pyloromyotomy was achieved with atropine sulfate.
  • This approach avoided further surgical intervention.

Conclusions:

  • Atropine sulfate therapy is a viable treatment option for IHPS cases complicated by incomplete pyloromyotomy.
  • Medical management can offer a less invasive alternative to repeat surgery.

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