Document Detail

Congenital hypertrophic pyloric stenosis.
MedLine Citation:
PMID:  12356225     Owner:  NLM     Status:  MEDLINE    
Congenital hypertrophic pyloric stenosis, an important cause of intractable vomiting in infants is diagnosed clinically and confirmed ultrasonographically. Other useful interventions are plain radiography and barium study. Differential diagnosis includes pylorospasm and gastroesophageal reflux. Management protocol includes correction of dehydration and electrolyte imbalance and either Fredet Ramstedt pyloromyotomy or medical treatment with atropine sulphate. Atropine is initially given intravenously till vomiting is controlled and then orally at double the effective i.v. done for another 3 weeks. Atropine sulphate is generally well tolerated and side effects are few like tachycardia, raised SGPT and hyperthermia. Atropine sulphate is very effective, cheap, safe and perhaps more acceptable treatment option for CHPS.
Utpal Kant Singh; Ranjeet Kumar
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Indian journal of pediatrics     Volume:  69     ISSN:  0019-5456     ISO Abbreviation:  Indian J Pediatr     Publication Date:  2002 Aug 
Date Detail:
Created Date:  2002-10-01     Completed Date:  2002-10-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0417442     Medline TA:  Indian J Pediatr     Country:  India    
Other Details:
Languages:  eng     Pagination:  713-5     Citation Subset:  IM    
Dept. of Pediatrics, NMCH, Patna, Bihar, India.
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MeSH Terms
Atropine / therapeutic use
Pyloric Stenosis / congenital,  diagnosis*,  drug therapy,  therapy*
Reg. No./Substance:

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