[The sonographic diagnosis of hypertrophic stenosis of the pylorus]
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R I Rodríguez1, J A Briceño de Rodríguez, M Urrutia
1Departamento de Radiología en el 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 in all cases, with patients recovering well.
Area of Science:
- Pediatric Surgery
- Medical Imaging
- Gastroenterology
Background:
- Pyloric hypertrophic stenosis (PHS) is a common cause of non-bilious vomiting in infants.
- Early and accurate diagnosis is crucial for timely surgical intervention and optimal outcomes.
- Clinical presentation can sometimes be ambiguous, necessitating reliable diagnostic tools.
Purpose of the Study:
- To evaluate the diagnostic accuracy of sonography in suspected cases of pyloric hypertrophic stenosis (PHS).
- To assess the correlation between sonographic findings and surgical confirmation of PHS.
- To report on the post-operative outcomes following pyloromyotomy in infants diagnosed with PHS.
Main Methods:
- Retrospective review of clinical records for 18 infants (15-60 days old) hospitalized with suspected PHS.
- Sonographic examination to assess pyloric canal dimensions and muscular layer thickness.
- Surgical pyloromyotomy performed for confirmed cases, with post-operative follow-up.
Main Results:
- Sonography confirmed PHS in 8 out of 18 infants based on characteristic findings of a thickened muscular layer and enlarged pyloric canal.
- Surgical pyloromyotomy ratified the diagnosis in all 8 infants who underwent the procedure.
- All 8 surgically treated infants demonstrated good health post-operation.
Conclusions:
- Sonography is a valuable, non-invasive tool for diagnosing pyloric hypertrophic stenosis (PHS) in infants.
- Surgical pyloromyotomy is an effective treatment for PHS, leading to positive patient outcomes.
- The combination of sonography and surgical intervention provides a reliable pathway for managing PHS in neonates and infants.
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.