Astudy of 68 Cases of Infantile Hypertrophic Pyloric Stenosis

A. Ejrish, Amier

	Astudy of 68 Cases of Infantile Hypertrophic Pyloric Stenosis
Medical Journal of Babylon
Article 1, Volume 6, Issue 3, 2009, Pages 565-571
Author
Amier A. Ejrish
Abstract
Background: First description of IHPS by Fabicious Hildnris in 1640. Harold Hirshsprung described 2 cases in 1888 at that time the treatment was medical by gastric lavage and antispasmodic [1]. Ramistedtʼs (1911) later simplified the Fredetʼs (pyloromyotomy).[2] Aim of study :To study the clinical presentation ,diagnosis ,management and complication of infants with IHPS in Children Welfare teaching hospital. Patients and Methods: Prospective study of 68 cases of IHPS treated and followed up in children welfare teaching hospital between March 2006 to March 2008 Results:Male to female ratio was 5.8-1.first baby in the family more frequently affected by the disease(70.6%).All patient when full term andthere was no family history of the disease in our study.The peak incidence for time of presentation between 3-6weeks.97% of the cases presented with projectile non bilestianed vomiting.the diagnosis based on history and clinical examination in 76.5% of the caseswhile ultrasound examination was true positive in 100% of cases.The classical ramistedtʼs pyloromyotomy was done for all our patientS .Post operative persistent vomitingevedent in 26.5%ofcases and it self limiting.No death occured. Conclusion: Early diagnosis,proper resuscitation and close follow up for apatient presented with IHPS will decrease the incidence of complications.the clinical diagnosis obviates the need for further diagnostic tools.Ramistedtsʼ-Fredetʼs pyloromytomy remains the procedure of choice in treating IHPS.

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