[Ultrasonography: the diagnostic method of choice in hypertrophic pyloric stenosis. Experience with 67 patients].
Hypertrophic pyloric stenosis (HPS) is a common medical emergency in newborns and lactating infants. Ultrasonography (US) is the diagnostic imaging procedure of choice in most centers, leaving the radiological study with barium for those cases in which US is negative and clinical symptoms persist or when other causes of vomiting must be discarded. We report our experience in 67 children (58 male) with suspected HPS. The US findings were consistent with HPS in 45 patients, and the diagnosis was surgically confirmed in all. In the remaining 22 patients with negative US findings, symptoms improved during follow up, with medical treatment. In one patient US was negative for HPS but showed an antral web, that was surgically confirmed. Since there were no false positive or negative results, the specificity and sensitivity of US for HPS diagnosis was 100%. We strongly recommend the use of US in patients with suspected HPS.
Garcia
C
C
Departamento de Radiologia, Hospital Clinico, P Universidad Católica de Chile, Santiago.
Estéves
A
A
Daza
C
C
Zúñiga
S
S
Accorsi
E
E
Montes
P
P
D005260:Female; D006801:Humans; D006984:Hypertrophy / Q000000981:diagnostic imaging; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011707:Pyloric Stenosis / Q000000981:diagnostic imaging*; D014463:Ultrasonography
Ultrasonografía: el método diagnóstico de elección en estenosis hipertrófica del píloro. Experiencia en 67 pacientes.