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[The sonographic diagnosis of hypertrophic stenosis of the pylorus]
R I Rodríguez1, J A Briceño de Rodríguez, M Urrutia
1Departamento de Radiología, Complejo Hospitalario Dr. Arnulfo Arias Madrid.
Insights
Pyloric hypertrophic stenosis (PHS) in infants can be diagnosed using sonography, which identified the condition in 8 out of 18 infants. Surgical pyloromyotomy confirmed the diagnosis and resulted in good health outcomes for all treated infants.
Area of Science:
- Pediatric Surgery
- Diagnostic Imaging
- Gastroenterology
Background:
- Pyloric hypertrophic stenosis (PHS) is a common cause of non-bilious vomiting in infants.
- Early and accurate diagnosis is crucial for effective management and preventing complications.
Purpose of the Study:
- To evaluate the diagnostic accuracy of sonography in identifying pyloric hypertrophic stenosis (PHS) in infants.
- To assess the outcomes of surgical pyloromyotomy in infants diagnosed with PHS.
Main Methods:
- Retrospective review of clinical records for 18 infants aged 15-60 days admitted with suspected PHS.
- Sonographic examination to assess pyloric canal dimensions and muscular layer thickness.
- Surgical pyloromyotomy for confirmed cases.
Main Results:
- Sonography confirmed PHS in 8 out of 18 infants based on characteristic findings of muscular layer thickening and pyloric canal enlargement.
- Surgical pyloromyotomy was performed on these 8 infants, ratifying the diagnosis.
- All 8 infants who underwent surgery experienced positive health outcomes post-operation.
Conclusions:
- Sonography is a reliable diagnostic tool for identifying pyloric hypertrophic stenosis (PHS) in infants.
- Pyloromyotomy is an effective surgical treatment for PHS, leading to favorable outcomes.
Abstract:
The clinical records of 18 children were studied, between 15 and 60 days old. They were hospitalized due to vomiting and diagnosis of suspected pyloric hypertrophic stenosis (PHS). The sonography confirmed the diagnosis in 8 children, by the thickening of the muscular layer and enlargement of the pyloric canal. The surgery (pyloromyotomy) ratified the diagnosis in all 8 children. They all were in good health after being operated.