alexa Guidelines For Surgical Treatment Of Infantile Hypertrophic Pyloric Stenosis
Surgery

Surgery

Journal of Trauma & Treatment

Author(s): International Pediatric Endosu

Abstract Share this page

Infantile hypertrophic pyloric stenosis (IHPS) is a common cause of gastric outlet obstruction in infants and presents as one of the most common surgical conditions of infancy(1). It occurs in 1 to 3 of every 1000 live births(2). The problem is associated with a 4:1 male-to-female ratio. Pyloric stenosis appears to be more common in infants of Caucasian decent and is rare in Asian children(3). It is an acquired disorder of unknown etiology in which hypertrophy of the muscle fibers of the pylorus occurs, causing a mechanical obstruction of the gastric outlet along with its associated metabolic and electrolyte abnormalities. This condition has been successfully treated for decades with the open Ramstedt extramucosal pyloromyotomy, which clearly stands as the gold-standard treatment against which all other techniques must be compared(4) . So highly effective is this simple, elegant, and inexpensive operation that it has been described as ‘one of the most easy and gratifying procedures performed by pediatric surgeons”(5) and ‘the most consistently successful operation ever described”(6). Despite the success and popularity of the Ramstedt pyloromyotomy, complications occasionally do occur including prolonged post-operative emesis, wound infection, and duodenal perforation. In addition, there is a permanent scar, which may negatively impact on the self image of some children. To deal with the issue of cosmesis some surgeons have advocated a circumumbilical incision for pyloromyotomy(7). However, it appears that this approach, although an acceptable alternative to Ramstedt’s technique, has its own shortcomings including infection, incisional hernia, and prolonged gastroparesis. The laparoscopic approach to pyloromyotomy obviates many of these concerns. There is clearly an advantage as far as cosmesis is concerned and the anticipated increased complication rate and costs have not consistently been demonstrated. The technique has evolved over the last decade and appears to be at the very least an acceptable alternative to the time-honored open approach.

  • To read the full article Visit
  • Open Access
This article was published in Advancing Pediatric Endosurgery Around The World and referenced in Journal of Trauma & Treatment

Relevant Expert PPTs

Relevant Speaker PPTs

Recommended Conferences

Relevant Topics

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri, Food, Aqua and Veterinary Science Journals

Dr. Krish

agrifoodaquavet@omicsonline.com

1-702-714-7001 Extn: 9040

Clinical and Biochemistry Journals

Datta A

clinical_biochem@omicsonline.com

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

business@omicsonline.com

1-702-714-7001Extn: 9042

Chemical Engineering and Chemistry Journals

Gabriel Shaw

chemicaleng_chemistry@omicsonline.com

1-702-714-7001 Extn: 9040

Earth & Environmental Sciences

Katie Wilson

environmentalsci@omicsonline.com

1-702-714-7001Extn: 9042

Engineering Journals

James Franklin

engineering@omicsonline.com

1-702-714-7001Extn: 9042

General Science and Health care Journals

Andrea Jason

generalsci_healthcare@omicsonline.com

1-702-714-7001Extn: 9043

Genetics and Molecular Biology Journals

Anna Melissa

genetics_molbio@omicsonline.com

1-702-714-7001 Extn: 9006

Immunology & Microbiology Journals

David Gorantl

immuno_microbio@omicsonline.com

1-702-714-7001Extn: 9014

Informatics Journals

Stephanie Skinner

omics@omicsonline.com

1-702-714-7001Extn: 9039

Material Sciences Journals

Rachle Green

materialsci@omicsonline.com

1-702-714-7001Extn: 9039

Mathematics and Physics Journals

Jim Willison

mathematics_physics@omicsonline.com

1-702-714-7001 Extn: 9042

Medical Journals

Nimmi Anna

medical@omicsonline.com

1-702-714-7001 Extn: 9038

Neuroscience & Psychology Journals

Nathan T

neuro_psychology@omicsonline.com

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

John Behannon

pharma@omicsonline.com

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

social_politicalsci@omicsonline.com

1-702-714-7001 Extn: 9042

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version