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[Echographic diagnosis of hypertrophic stenosis of the pylorus]

G Bonino Timermann, R Olagüe de Ros, C A Ucha

    Anales Espanoles De Pediatria
    |June 1, 1984
    PubMed

    Insights

    Ultrasound is a quick and reliable method for diagnosing hypertrophic pyloric stenosis in infants with vomiting. This non-invasive technique accurately identifies thickened pyloric muscle, confirming the condition in newborns.

    Area of Science:

    • Pediatric Gastroenterology
    • Diagnostic Imaging
    • Neonatal Surgery

    Context:

    • Infants presenting with vomiting require accurate diagnosis.
    • Hypertrophic pyloric stenosis (HPS) is a common cause of infantile vomiting.
    • Clinical suspicion for HPS necessitates reliable diagnostic confirmation.

    Purpose:

    • To evaluate the utility of real-time ultrasound in diagnosing hypertrophic pyloric stenosis (HPS) in infants.
    • To correlate ultrasound findings with clinical suspicion and surgical/endoscopic confirmation of HPS.

    Summary:

    • Abdominal sonograms of 33 infants with vomiting were reviewed.
    • Ultrasound identified thickened pyloric muscle (3.8-7 mm) in 30 infants, consistent with HPS.
    • All 30 infants with sonographic findings of HPS were confirmed by upper GI examination or surgery.

    Impact:

    • Real-time ultrasound is a valuable, rapid, and non-invasive tool for confirming HPS in infants.
    • This diagnostic approach aids in timely management of infantile vomiting due to HPS.
    • Ultrasound can identify HPS even in cases initially presumed to be gastroesophageal reflux.

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