Infantile hypertrophic pyloric stenosis in a Third-World environment.
Sixty-two consecutive patients with hypertrophic pyloric stenosis, presenting over a 6-year period, are reported. The sequelae of late presentation and diagnostic delay are outlined. Clinical diagnosis may be difficult. Barium meal examination has proved a more useful single investigation than ultrasonography, although these methods of investigation are complementary. Management difficulties include severe biochemical derangement, correction of which delays surgery. In black communities pyloric stenosis remains a rare condition and heightened clinical awareness remains the most important means of achieving earlier diagnosis.
Emmink
B
B
Department of Paediatric Surgery, University of Natal, Durban.
Hadley
G P
GP
Wiersma
R
R
D006801:Humans; D006984:Hypertrophy; D007223:Infant; D007231:Infant, Newborn; D011707:Pyloric Stenosis / Q000453:epidemiology* / Q000601:surgery; D012189:Retrospective Studies; D013019:South Africa / Q000453:epidemiology