Advances in infantile hypertrophic pyloric stenosis.
Infantile hypertrophic pyloric stenosis (IHPS) is a common condition in infancy, characterized by an acquired narrowing of the pylorus, which requires surgery. These infants usually present with projectile, nonbilious vomiting, with a palpable 'olive' in the abdomen and sometimes a 'peristaltic wave' after being fed with formula or breast milk. Although IHPS is a common disorder, its etiology is largely unknown. Surgical intervention is the standard treatment, preoperative preparation, however is essential to optimal outcome. In this review, the latest advances in IHPS regarding epidemiology, etiology, diagnostics and treatment will be discussed.
Emma Children's Hospital/AMC - Pediatrics, Meibergdreef 9, Amsterdam 1105 AZ, The Netherlands.
Babette
B
Peters
Mathijs W N
MW
Oomen
Roel
R
Bakx
Marc A
MA
Benninga
D013505:Digestive System Surgical Procedures / Q000009:adverse effects; D006801:Humans; D011237:Predictive Value of Tests; D046248:Pyloric Stenosis, Hypertrophic / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery*; D012307:Risk Factors; D016896:Treatment Outcome
fluid resuscitation; infant; infantile hypertrophic pyloric stenosis; laparoscopy; pyloromyotomy