Document Detail

Congenital hypertrophic pyloric stenosis. Surgical experience.
MedLine Citation:
PMID:  1127996     Owner:  NLM     Status:  MEDLINE    
Of 132 infants who underwent surgery for congenital hypertrophic pyloric stenosis during a 13-year period, 83% were males and 31% were firstborn males. Ninety-one percent of the patients presented with projctile vomiting after feeding, and an "olive" was palpated in 92%. Upper gastrointestinal studies were not obtained in 73%. Twenty patients had positive family histories. For the entire 13 years under review, the average total hospital was 6.14 days, and the average postoperative stay was 4.45 days. For the later period 1970 to 1974, the hospital stay was 5.2 and 3.7 days, respectively. Intravenous fluids were not used in 77% of the patients and were used but not needed from a surgical standpoint in 9%. No deaths resulted from the procedure for pyloric steonsis, but there were five complications. Only 13 patients had no vomiting after operaion, whereas 105 (79%) had modest regurgitation of mild vomiting. Specific preoperative, operative, and postoperative care is important in every case.
M K Gibbs; J A Van Herrden; H B Lynn
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Mayo Clinic proceedings     Volume:  50     ISSN:  0025-6196     ISO Abbreviation:  Mayo Clin. Proc.     Publication Date:  1975 Jun 
Date Detail:
Created Date:  1975-08-04     Completed Date:  1975-08-04     Revised Date:  2013-12-13    
Medline Journal Info:
Nlm Unique ID:  0405543     Medline TA:  Mayo Clin Proc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  312-6     Citation Subset:  IM    
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MeSH Terms
Congenital Abnormalities / complications
Hernia, Inguinal / complications
Infant, Newborn
Length of Stay
Postoperative Care
Preoperative Care
Pyloric Stenosis / complications,  congenital*,  diagnosis,  surgery
Pylorus / radiography
Vomiting / diagnosis

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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