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[Infantile hypertrophic pyloric stenosis. 22 years' data]
Insights
This study on infantile hypertrophic pyloric stenosis found that early surgical treatment using the Fredet-Ramstedt pyloromyotomy is recommended. Delayed diagnosis increases surgical complications and prolongs recovery for newborns.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Neonatal Care
Abstract:
The report is a retrospective study of the journals of 123 patients operated from 1967-89. In all patients, the Fredet-Ramstedt pyloromyotomy was used. The incidence of pyloric stenosis is stable in Tromsø, 1.5 +/- 1 pr. 1,000 newborn. The incidence among boys and girls is 4:1. Serious complications after surgical treatment are infrequent; with no mortality and 4% reoperations. The duration of symptoms significantly increased the incidence of peroperative pyloric perforations, with a more tedious postoperative course. Early diagnosis and surgical treatment are therefore recommended.