Affiliation:
1. Department of Paediatric Surgery, Nelson R Mandela School of Medicine, University of KwaZulu – Natal, Private Bag 7, Congella 4013, South Africa
Abstract
The relative rarity of hypertrophic pyloric stenosis (HPS) in the developing world makes its diagnosis a challenge to many physicians. This study audits the management of HPS at a tertiary hospital in South Africa, with a view to defining its regional pattern. This is a retrospective review of records of all patients ( n = 63) managed for HPS over an eight-year period (2002–2010). The mean age at presentation was 6.2 weeks and the male/female ratio was 6:1. The majority of patients presented with non-bilious vomiting. Abdominal ultrasound had a sensitivity of 65% and 81.3% when the criteria of pyloric muscle thickness >4 mm and pyloric channel length >16 mm were used, respectively. The overall complication rate was 14.3% and the mortality rate was 0%. Despite the rarity of HPS in the Third World, the outcome of its management is favourable. However, the sensitivity of abdominal ultrasound for diagnosing HPS is low.
Subject
Infectious Diseases,Public Health, Environmental and Occupational Health
Reference28 articles.
1. O'NeillJA, GrosfeldJL, FonkalsrudEW, (eds). Principles of Pediatric Surgery. 2nd edn. Missouri: Mosby, 2004:467–70
2. BurgeDM, GriffithsDM, SteinbrecherHA, (eds). Paediatric Surgery. 2nd edn. London: Hodder Arnold, 2005:191–5
3. Population Demographic Indicators Associated With Incidence of Pyloric Stenosis
4. The epidemiology of infantile hypertrophic pyloric stenosis
Cited by
6 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献