281 results match your criteria Pediatrics Pyloric Stenosis


Postoperative Opioid Analgesia Impacts Resource Utilization in Infants Undergoing Pyloromyotomy.

J Surg Res 2020 Jul 7;255:594-601. Epub 2020 Jul 7.

Division of Pediatric Surgery, Children's Hospital Los Angeles, Los Angeles, CA, Department of Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, CA; Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA. Electronic address:

Background: Opioid analgesia is often avoided in infants undergoing pyloromyotomy. Previous studies highlight an association between opioid use and prolonged hospitalization after pyloromyotomy. However, the impact of opioid use on healthcare resource utilization and cost is unknown. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jss.2020.05.077DOI Listing

Anesthetic Management of Laparoscopic Pyloromyotomy for Pyloric Stenosis in a Neonate with Hereditary Spherocytosis.

Cureus 2020 Mar 15;12(3):e7277. Epub 2020 Mar 15.

Anesthesiology, NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, USA.

We describe a case of hereditary spherocytosis in a neonate with pyloric stenosis requiring laparoscopic pyloromyotomy. Hereditary spherocytosis is the most commonly inherited hemolytic anemia causing hyperbilirubinemia and mild anemia. Anesthetic management for laparoscopic pyloromyotomy is challenging. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.7277DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7158607PMC

Neonatal eosinophilic gastroenteritis mimicking hypertrophic pyloric stenosis.

Pediatr Int 2020 Jan;62(1):99-101

Department of Pediatrics, Japanese Red Cross Society, Wakayama Medical Center, Wakayama, Japan.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/ped.14041DOI Listing
January 2020

50 Years Ago in TheJournalofPediatrics: Pyloric Stenosis in the Racial Groups of Hawaii.

J Pediatr 2020 01;216:50

Department of Pediatrics, Albert Einstein School of Medicine and Children's Hospital at Montefiore, New York, New York.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jpeds.2019.07.045DOI Listing
January 2020

Pyloric Stenosis: National Trends in the Incidence Rate and Resource Use in the United States From 2012 to 2016.

Hosp Pediatr 2019 12 20;9(12):923-932. Epub 2019 Nov 20.

Department of Pediatrics, School of Medicine, University of Connecticut, Farmington, Connecticut

Objectives: Infantile hypertrophic pyloric stenosis (IHPS) is the most common reason for abdominal surgery in infants; however, national-level data on incidence rate and resource use are lacking. We aimed to examine the national trends in hospitalizations for IHPS and resource use in its management in the United States from 2012 to 2016.

Methods: We performed a retrospective serial cross-sectional study using data from the National Inpatient Sample, the largest health care database in the United States. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1542/hpeds.2019-0112DOI Listing
December 2019
9 Reads

Genome-wide association studies of structural birth defects: A review and commentary.

Birth Defects Res 2019 11 25;111(18):1329-1342. Epub 2019 Oct 25.

National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia.

Background: While there is strong evidence that genetic risk factors play an important role in the etiologies of structural birth defects, compared to other diseases, there have been relatively few genome-wide association studies (GWAS) of these conditions. We reviewed the current landscape of GWAS conducted for birth defects, noting novel insights, and future directions.

Methods: This article reviews the literature with regard to GWAS of structural birth defects. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/bdr2.1606DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7250002PMC
November 2019
1 Read

Imaging Acute Non-Traumatic Abdominal Pathologies in Pediatric Patients: A Pictorial Review.

J Radiol Case Rep 2019 Jul 31;13(7):29-43. Epub 2019 Jul 31.

Department of Radiology, American University of Beirut Medical Center, Beirut, Lebanon.

The dilemma of acute non-traumatic abdominal pathologies in the pediatric population depends on the age of the patients and symptoms. Surgical etiologies in patients younger than 2 years of age include intussusception, pyloric stenosis, malrotation and midgut volvulus. In older patients, considerations become closer to differential etiologies in adults including acute appendicitis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3941/jrcr.v13i7.3443DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6738493PMC
July 2019
4 Reads

Homozygous variants in MAPRE2 and CDON in individual with skin folds, growth delay, retinal coloboma, and pyloric stenosis.

Am J Med Genet A 2019 12 9;179(12):2454-2458. Epub 2019 Sep 9.

Department of Genetic and Metabolic Diseases, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.

Cases with multiple molecular diagnoses are challenging to diagnose clinically, yet may be resolved by unbiased exome sequencing analysis. We report an infant with developmental delay, severe growth delay, dysmorphic features, and multiple congenital anomalies including retinal coloboma, congenital pyloric stenosis, and circumferential skin creases. Exome sequencing identified a homozygous missense variant in MAPRE2 and a homozygous stopgain (nonsense) variant in CDON. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/ajmg.a.61355DOI Listing
December 2019
2 Reads

Differences in Outcomes Based on Sex for Pediatric Patients Undergoing Pyloromyotomy.

J Surg Res 2020 01 14;245:207-211. Epub 2019 Aug 14.

Department of General Surgery, University Of California - Los Angeles, Los Angeles, California; Department of Pediatric Surgery, UCLA Mattel Children's Hospital, Los Angeles, California. Electronic address:

Background: Males and females are known to have varied responses to medical interventions. Our study aimed to determine the effect of sex on surgical outcomes after pyloromyotomy.

Materials And Methods: Using the Kids' Inpatient Database for the years 2003-2012, we performed a serial, cross-sectional analysis of a nationally representative sample of all patients aged <1 y who underwent pyloromyotomy for hypertrophic pyloric stenosis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jss.2019.07.042DOI Listing
January 2020
6 Reads

The Association Between Opioid Use and Outcomes in Infants Undergoing Pyloromyotomy.

Clin Ther 2019 09 10;41(9):1690-1700. Epub 2019 Aug 10.

Division of Pediatric Surgery, Children's Hospital Los Angeles, Los Angeles, CA, USA; Department of Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA; Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA. Electronic address:

Purpose: The purpose of this study was to describe the frequency and variation of opioid use across hospitals in infants undergoing pyloromyotomy and to determine the impact of opioid use on postoperative outcomes.

Methods: A retrospective cohort study (2005-2015) was conducted by using the Pediatric Health Information System (PHIS) database, including infants (aged <6 months) with pyloric stenosis who underwent pyloromyotomy. Infants with significant comorbidities were excluded. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.clinthera.2019.07.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7313351PMC
September 2019
4 Reads

Late-Onset Hypertrophic Pyloric Stenosis in a 14-Weeks-Old Full Term Male Infant.

Acta Medica (Hradec Kralove) 2019 ;62(2):82-84

Department of Pediatrics, University Hospital of Split, Split, Croatia.

Background: Hypertrophic pyloric stenosis is the most common cause of gastric outlet obstruction in infants, and classically presents at 2 to 6 weeks of age. Delayed presentation is an extremely rare occurrence after early infancy.

Case Report: A 14-weeks-old full term male infant presented with non-bilious vomiting, dehydration and hypocloremic metabolic alkalosis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.14712/18059694.2019.108DOI Listing
February 2020
4 Reads

Changes in cerebral and renal oxygenation during laparoscopic pyloromyotomy.

J Clin Monit Comput 2019 Jul 19. Epub 2019 Jul 19.

Department of Anesthesiology & Pain Medicine, Nationwide Children's Hospital, Columbus, OH, USA.

Although a laparoscopic approach may be preferred over open procedures for abdominal surgery, there are limited data on the effect of laparoscopic procedures on cerebral and renal oxygenation in neonates and young infants. Here, we evaluated the effect in neonates and infants. In this two-center prospective observational study, we evaluated changes in cerebral and renal regional oxygen saturation (rSO) in infants during laparoscopic pyloromyotomy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10877-019-00356-2DOI Listing
July 2019
4 Reads
1.448 Impact Factor

Efficacy of macrolides on gastric motility in extremely low birth weight infants.

J Neonatal Perinatal Med 2019 ;12(3):295-300

Department of Pediatrics, Tokyo Medical University, Tokyo, Japan.

Background: The efficacy of macrolide treatment on gastrointestinal motility and acquirement of feeding tolerance in extremely low birth weight (ELBW) infants are controversial. This study aimed to evaluate clinical effects of parenterally administered erythromycin (EM) and clarithromycin (CAM) on gastrointestinal motility in ELBW infants.

Methods: ELBW infants treated in Tokyo Medical University Hospital were retrospectively studied. Read More

View Article

Download full-text PDF

Source
https://www.medra.org/servlet/aliasResolver?alias=iospress&a
Publisher Site
http://dx.doi.org/10.3233/NPM-1849DOI Listing
February 2020
6 Reads

Bowel Imaging in Children: Part 1.

Indian J Pediatr 2019 09 14;86(9):805-816. Epub 2019 Feb 14.

Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, 110029, India.

The bowel is a challenging abdominal organ to image. The main reason is the variable location, convoluted morphology and motility. A variety of bowel disorders such as congenital, developmental, inflammatory, infectious and neoplastic lesions can affect children and most of them are either unique to this age group or have a distinct clinico-radiological appearance compared to adults. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s12098-019-02877-9DOI Listing
September 2019
3 Reads

Caterpillar Sign in an Infant with Hypertrophic Pyloric Stenosis.

J Pediatr 2019 May 2;208:292. Epub 2019 Feb 2.

Department of General Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jpeds.2018.12.058DOI Listing
May 2019
8 Reads

Presentation and outcomes in hypertrophic pyloric stenosis: An 11-year review.

J Paediatr Child Health 2019 Oct 24;55(10):1183-1187. Epub 2019 Jan 24.

Department of Paediatric Surgery, Monash Children's Hospital, Melbourne, Victoria, Australia.

Aim: To evaluate the trend in presentation and postoperative outcomes of infants with hypertrophic pyloric stenosis (HPS) over the last decade.

Methods: This was a multicentre retrospective study in two tertiary paediatric centres between 2005 and 2015 inclusive. Participants included 626 infants who underwent a pyloromyotomy for HPS. Read More

View Article

Download full-text PDF

Source
http://doi.wiley.com/10.1111/jpc.14372
Publisher Site
http://dx.doi.org/10.1111/jpc.14372DOI Listing
October 2019
29 Reads

Bart's Syndrome with Novel Frameshift Mutations in the COL7A1 Gene.

Fetal Pediatr Pathol 2019 Feb 7;38(1):72-79. Epub 2018 Dec 7.

c Department of Dermatology , Pusan National University Yangsan Hospital , Yangsan , Republic of Korea.

Introduction: Bart's syndrome, a hereditary mechanobullous disorder characterized by aplasia cutis congenita (ACC) with epidermolysis bullosa (EB), has not been genotyped frequently.

Case Report: A full-term female neonate had well-demarcated absence of skin on both legs at birth, with blisters and erosive patches developing immediately after birth. Electron microscopy showed blister formation under the lamina densa layer. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/15513815.2018.1543370DOI Listing
February 2019
12 Reads

Effects of Hospital Volume on Patient Outcomes and Costs in Infants With Pyloric Stenosis.

J Surg Res 2019 01 17;233:65-73. Epub 2018 Aug 17.

Department of Surgery, Harbor-UCLA Medical Center, Torrance, California; Division of Pediatric Surgery, Department of Surgery, David Geffen School of Medicine, UCLA, Los Angeles, California; Department of Pediatrics, Harbor-UCLA Medical Center, Torrance, California; Los Angeles Biomedical Research Institute, Torrance, California. Electronic address:

Background: There is a well-established relationship between surgical volume and outcomes after complex pediatric operations. However, this relationship remains unclear for common pediatric procedures. The aim of our study was to investigate the effect of hospital volume on outcomes after hypertrophic pyloric stenosis (HPS). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jss.2018.07.033DOI Listing
January 2019
11 Reads

Endoscopic Balloon Dilation for Treatment of Congenital Antral Web.

Pediatr Gastroenterol Hepatol Nutr 2018 Oct 10;21(4):351-354. Epub 2018 Oct 10.

Pediatric Gastroenterology, Johns Hopkins All Children's Hospital, St. Petersburg, FL, United States.

Congenital antral webs are a rare but relevant cause of gastric outlet obstruction in infants and children. The condition may lead to feeding refusal, vomiting, and poor growth. Due to the relative rarity of the disease, cases of congenital antral web are frequently misdiagnosed or diagnosed with significant delay as physicians favorably pursue diagnoses of pyloric stenosis and gastric ulcer disease, which are more prevalent. Read More

View Article

Download full-text PDF

Source
https://synapse.koreamed.org/DOIx.php?id=10.5223/pghn.2018.2
Publisher Site
http://dx.doi.org/10.5223/pghn.2018.21.4.351DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6182476PMC
October 2018
51 Reads

Impact of a multimedia teaching tool on parental anxiety and knowledge during the informed consent process.

Pediatr Surg Int 2018 Dec 25;34(12):1345-1352. Epub 2018 Sep 25.

Department of Surgery and Pediatrics, Children's Foundation Research Institute, Le Bonheur Children's Hospital, University of Tennessee Health Sciences Center, 49 North Dunlap, Suite 266, Memphis, TN, 38105, USA.

Purpose: Before performing a surgical procedure, informed consent (IC) is obtained. Parents may exhibit anxiety and/or a desire for more knowledge during the IC process for their child. The purpose of this study was to measure the impact of a multimedia intervention (MMI) versus conventional discussion on parental understanding and anxiety during the IC process for infants undergoing surgery for hypertrophic pyloric stenosis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00383-018-4352-zDOI Listing
December 2018
10 Reads

Retrospective Cohort Study on the Optimal Timing of Orogastric Tube/Nasogastric Tube Insertion in Infants With Pyloric Stenosis.

Anesth Analg 2019 10;129(4):1079-1086

From the Department of Anesthesiology and Perioperative Medicine, Division of Pediatric Anesthesiology, David Geffen School of Medicine at University of California, Los Angeles, California.

Background: Hypertrophic pyloric stenosis in infants can cause a buildup of gastric contents. Orogastric tubes (OGTs) or nasogastric tubes (NGTs) are often placed in patients with pyloric stenosis before surgical management to prevent aspiration. However, exacerbation of gastric losses may lead to electrolyte abnormalities that can delay surgery, and placement has been associated with increased risk of postoperative emesis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1213/ANE.0000000000003805DOI Listing
October 2019
19 Reads

Hypertrophic pyloric stenosis following persistent pulmonary hypertension of the newborn: a case report and literature review.

BMC Pediatr 2018 09 3;18(1):290. Epub 2018 Sep 3.

Department of Pediatrics, Hamamatsu University School of Medicine, 1 - 20 - 1 Handayama, Hamamatsu, Shizuoka, 431 - 3192, Japan.

Background: Although persistent pulmonary hypertension of the newborn (PPHN) and infantile hypertrophic pyloric stenosis (HPS) are both well-known diseases that occur in early infancy, PPHN complicated by HPS is rare. As nitric oxide (NO) is an important mediator of biological functions, on both the vascular endothelium and smooth muscle cells, the decreased production of NO might play a role in the pathogenesis of both PPHN and HPS. We present the case of a neonate who developed HPS following PPHN, including a detailed review on research published to date, and we discuss the pathogenesis of PPHN and HPS. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12887-018-1270-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6122549PMC
September 2018
12 Reads

Diffuse infantile hepatic haemangioma-how to manage an incidental but potentially lethal finding.

Oxf Med Case Reports 2018 Aug 21;2018(8):omy054. Epub 2018 Aug 21.

Paediatrics Department, Hospital Dr. Nélio Mendonça, Funchal, Portugal.

Infantile hepatic haemangioma (IHH) is a rare vascular tumour that is potentially lethal due to its associated complications, including heart failure, hepatic failure, hypothyroidism and abdominal compartment syndrome. The authors report a case of an asymptomatic diffuse IHH in a newborn male, which was presented as an incidental finding at the time that the patient was diagnosed with pyloric stenosis. The patient was treated with increasing doses of propranolol that were well tolerated. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/omcr/omy054DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6105109PMC
August 2018
12 Reads

Perinatal findings in a patient with a novel large chromosome 19p deletion.

Clin Case Rep 2018 Aug 21;6(8):1525-1530. Epub 2018 Jun 21.

Division of Maternal Fetal Medicine Sibley Memorial Hospital Washington DC USA.

We describe the prenatal and postnatal course of an infant with a large 19p deletion. Cases such as ours will improve the knowledge of specific gene functions for every medical specialist. The goal is to allow for a more rapid diagnosis, accurate prognosis and to decrease the likelihood of complications. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/ccr3.1615DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6099042PMC
August 2018
20 Reads

Recurrent Nausea and Vomiting in a Teenager - A Rare Disease with Common Symptoms.

Klin Padiatr 2019 Jan 25;231(1):43-45. Epub 2018 Jul 25.

Department of Pediatric Endoscopy and Gastrointestinal Function Testing, Collegium Medicum Bydgoszcz, NCU Torun, Poland.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/a-0641-6067DOI Listing
January 2019
11 Reads

A Novel Frameshift Mutation (c.5387_5388insTT) in in Cornelia de Lange Syndrome with Severe Phenotype.

Ann Clin Lab Sci 2018 Jan;48(1):106-109

Department of Pediatrics, Kangdong Sacred Heart Hospital, Seoul, Korea

Cornelia de Lange syndrome (CdLS) is a developmental disorder which is characterized by typical facial features, upper extremity malformations, and growth and cognitive delays. The genes involved in CdLS encode the cohesin complex and its associated proteins; and mutations, which account for half of the cases, result in severe CdLS phenotypes. We describe a girl with CdLS, presenting with typical facial dysmorphism, cleft palate, hypertrichosis, upper limb hypertonicity, flexion contracture of elbows, micromelia, bilateral hearing loss, gastroesophageal reflux, and severe pyloric stenosis. Read More

View Article

Download full-text PDF

Source
January 2018
19 Reads

Optimizing peripheral venous pressure waveforms in an awake pediatric patient by decreasing signal interference.

J Clin Monit Comput 2018 12 6;32(6):1149-1153. Epub 2018 Mar 6.

Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, USA.

The purpose of this technological notes paper is to describe our institution's experience collecting peripheral venous pressure (PVP) waveforms using a standard peripheral intravenous catheter in an awake pediatric patient. PVP waveforms were collected from patients with hypertrophic pyloric stenosis. PVP measurements were obtained prospectively at two time points during the hospitalization: admission to emergency department and after bolus in emergency department. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10877-018-0124-5DOI Listing
December 2018
41 Reads

A simulated training model for laparoscopic pyloromyotomy: Is 3D printing the way of the future?

J Pediatr Surg 2018 May 8;53(5):937-941. Epub 2018 Feb 8.

Division of Pediatric Surgery, Children's Hospital, London Health Sciences Centre, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada. Electronic address:

Background: Hypertrophic pyloric stenosis (HPS) is a common neonatal condition treated with open or laparoscopic pyloromyotomy. 3D-printed organs offer realistic simulations to practice surgical techniques. The purpose of this study was to validate a 3D HPS stomach model and assess model reliability and surgical realism. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jpedsurg.2018.02.016DOI Listing
May 2018
12 Reads

Protein Losing Enteropathy in Hennekam Syndrome.

Indian J Pediatr 2018 07 12;85(7):587-588. Epub 2018 Jan 12.

Department of Pathology, All India Institute of Medical Sciences, New Delhi, India.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s12098-017-2602-zDOI Listing
July 2018
26 Reads

[The Guigou family and the treatment of hypertrophic pyloric stenosis in Spain].

Cir Pediatr 2017 Oct 25;30(4):173-174. Epub 2017 Oct 25.

Hospital Clínico Universitario Virgen de la Arrixaca. Murcia.

View Article

Download full-text PDF

Source
October 2017
6 Reads

An unusual surgical cause of pyloric stenosis in an 8-month-old infant.

Afr J Paediatr Surg 2017 Oct-Dec;14(4):79-82

Department of Paediatrics and Adolescent Health, Princess Marina Hospital, Gaborone, Botswana.

Infantile hypertrophic pyloric stenosis (IHPS) is the most common surgical cause of nonbilious, projectile vomiting in children. Its incidence is estimated to be 2-5/1000 live births and has been noted to be quite rare in African-Americans, Asians, and Indians. It is more common in infants under 6 months of age and is quite rare in older infants. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/ajps.AJPS_118_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369598PMC
May 2019
12 Reads

William Ladd before the Halifax explosion.

Authors:
Don K Nakayama

J Pediatr Surg 2017 Dec 5;52(12):2093-2096. Epub 2017 Sep 5.

Department of Surgery, Florida International University, Sacred Heart Medical Group, Pensacola, FL. Electronic address:

Legend holds that treating the hundreds of children injured in the Halifax explosion of December 6, 1917, compelled Dr. William E. Ladd (1880-1967) to dedicate his career to the surgical care of infants and children. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S00223468173054
Publisher Site
http://dx.doi.org/10.1016/j.jpedsurg.2017.08.047DOI Listing
December 2017
27 Reads

Application of color Doppler ultrasound combined with Doppler imaging artifacts in the diagnosis and estimate of congenital hypertrophic pyloric stenosis.

Sci Rep 2017 08 25;7(1):9527. Epub 2017 Aug 25.

Department of Medical Ultrasound, Guangzhou First People's Hospital, Guangzhou Medical University, Guangzhou, China.

Congenital Hypertrophic Pyloric Stenosis (CHPS) is a disease condition that is caused as a result of pylorus wall hypertrophy and hyperplasia. In this study, we used color Doppler flow imaging (CDFI) and Doppler artifacts technique to observe the blood flow of hypertrophic pylorus tissue and the dynamic imaging of liquid passing through the pyloric canal in CHPS infants. 65 cases of CHPS infants and 50 infants without CHPS served as control group. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1038/s41598-017-10264-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5573336PMC
August 2017
116 Reads

A breathtakingly rare presentation of pyloric stenosis.

Ir Med J 2017 Apr 10;110(4):555. Epub 2017 Apr 10.

Department of Paediatrics, Midland Regional Hospital, Mullingar, Ireland.

View Article

Download full-text PDF

Source
April 2017
9 Reads

50 Years Ago in The Journal of Pediatrics: The Radiographic Diagnosis of Congenital Hypertrophic Pyloric Stenosis.

J Pediatr 2017 07;186:40

Tecnologico de Monterrey School of Medicine Monterrey, Nuevo León, Mexico.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jpeds.2017.01.038DOI Listing
July 2017
17 Reads

Does metabolic alkalosis influence cerebral oxygenation in infantile hypertrophic pyloric stenosis?

J Surg Res 2017 05 30;212:229-237. Epub 2017 Jan 30.

Department of Pediatric Surgery, St. Mary's Hospital, St. Elisabeth Group, Ruhr-University of Bochum, Herne, Germany.

Background: This pilot study focuses on regional tissue oxygenation (rSO) in patients with infantile hypertrophic pyloric stenosis in a perioperative setting. To investigate the influence of enhanced metabolic alkalosis (MA) on cerebral (c-rSO) and renal (r-rSO) tissue oxygenation, two-site near-infrared spectroscopy (NIRS) technology was applied.

Materials And Methods: Perioperative c-rSO, r-rSO, capillary blood gases, and electrolytes from 12 infants were retrospectively compared before and after correction of MA at admission (T1), before surgery (T2), and after surgery (T3). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jss.2017.01.019DOI Listing
May 2017
106 Reads

Chronic Low Dose Prostaglandin and Neonatal Heart Block.

Pediatr Cardiol 2017 Oct 16;38(7):1515-1518. Epub 2017 May 16.

Department of Pediatrics, Division of Cardiology, Rush University Medical College, 1653 W. Congress Pkwy., Pavilion 654, Chicago, IL, 60612, USA.

Long-term prostaglandin use is commonly associated with side effects such as cortical proliferation of the bones, hypertrophic pyloric stenosis, and soft tissue swelling of the extremities. We report a neonate with critical coarctation of the aorta, who developed second and third degree atrioventricular blocks associated with prolonged prostaglandin E1 (PGE1) infusion. Interestingly, these conduction blocks only occurred at low PGE1 dose. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00246-017-1633-6DOI Listing
October 2017
64 Reads

Perinatal risk factors for infantile hypertrophic pyloric stenosis: A meta-analysis.

J Pediatr Surg 2017 Sep 15;52(9):1389-1397. Epub 2017 Mar 15.

Department of Pediatrics, West China Second University Hospital, Sichuan University, Chengdu 610041, China; Key Laboratory of Obstetric & Gynecologic and Pediatric Diseases and Birth Defects of Ministry of Education, Sichuan University, Chengdu 610041, China; Department of Pediatrics, University of California, San Francisco, USA. Electronic address:

Background: Infantile hypertrophic pyloric stenosis (IHPS) is the most common surgical cause of nonbilious vomiting in infancy. The etiology of IHPS is not completely understood. Hence, we performed a meta-analysis to investigate the association between perinatal factors and IHPS onset. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jpedsurg.2017.02.017DOI Listing
September 2017
17 Reads
1.311 Impact Factor

Excessive Bright Echoes Sign for Hypertrophic Pyloric Stenosis Suggest the Diagnosis: Gastric Pneumatosis and Portal Venous Gas in Infants Suggest HPS.

J Ultrasound Med 2017 May 10;36(5):1059-1063. Epub 2017 Mar 10.

University of Tennessee/Methodist Healthcare Radiology Residency Program, Memphis, Tennessee, USA.

We describe a new finding, the "excessive bright echoes" sign, for the diagnosis of hypertrophic pyloric stenosis (HPS). Portal venous gas and gastric wall pneumatosis were noted in 4 vomiting infants proven to have HPS. Portal venous gas can be concerning for ischemic bowel. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7863/ultra.16.04004DOI Listing
May 2017
34 Reads

Complications in common general pediatric surgery procedures.

Semin Pediatr Surg 2016 Dec 29;25(6):404-411. Epub 2016 Oct 29.

Department of Surgery, Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, Arizona 85016. Electronic address:

Complications related to general pediatric surgery procedures are a major concern for pediatric surgeons and their patients. Although infrequent, when they occur the consequences can lead to significant morbidity and psychosocial stress. The purpose of this article is to discuss the common complications encountered during several common pediatric general surgery procedures including inguinal hernia repair (open and laparoscopic), umbilical hernia repair, laparoscopic pyloromyotomy, and laparoscopic appendectomy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1053/j.sempedsurg.2016.10.002DOI Listing
December 2016
24 Reads

The timing and prevalence of intraoperative hypotension in infants undergoing laparoscopic pyloromyotomy at a tertiary pediatric hospital.

Paediatr Anaesth 2017 Jan 29;27(1):66-76. Epub 2016 Nov 29.

Department of Anesthesiology and Critical Care Medicine, Perelman School of Medicine at the University of Pennsylvania and The Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Background: Intraoperative hypotension may be associated with adverse outcomes in children undergoing surgery. Infants and neonates under 6 months of age have less autoregulatory cerebral reserve than older infants, yet little information exists regarding when and how often intraoperative hypotension occurs in infants.

Aims: To better understand the epidemiology of intraoperative hypotension in infants, we aimed to determine the prevalence of intraoperative hypotension in a generally uniform population of infants undergoing laparoscopic pyloromyotomy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/pan.13036DOI Listing
January 2017
43 Reads
1.742 Impact Factor

Update on endoscopic management of gastric outlet obstruction in children.

Authors:
Hsun-Chin Chao

World J Gastrointest Endosc 2016 Oct;8(18):635-645

Hsun-Chin Chao, Division of Gastroenterology, Department of Pediatrics, Chang Gung Children's Hospital, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan 33305, Taiwan.

Endoscopic balloon dilatation (EBD) and surgical intervention are two most common and effective treatments for gastric outlet obstruction. Correction of gastric outlet obstruction without the need for surgery is an issue that has been tried to be resolved in these decades; this management has developed with EBD, advanced treatments like local steroid injection, electrocauterization, and stent have been added recently. The most common causes of pediatric gastric outlet obstruction are idiopathic hypertrophic pyloric stenosis, peptic ulcer disease followed by the ingestion of caustic substances, stenosis secondary to surgical anastomosis; antral web, duplication cyst, ectopic pancreas, and other rare conditions. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4253/wjge.v8.i18.635DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5067470PMC
October 2016
11 Reads

Vomiting in infant with congenital nephrotic syndrome: Answers.

Pediatr Nephrol 2017 09 18;32(9):1521-1523. Epub 2016 Oct 18.

Department of Pediatrics, Hokkaido University Hospital, Kita 15-jo Nishi 7-Chome, Kita Ward, Sapporo City, Hokkaido, Japan.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00467-016-3532-0DOI Listing
September 2017
17 Reads

Vomiting in an infant with congenital nephrotic syndrome: Questions.

Pediatr Nephrol 2017 Sep 18;32(9):1519-1520. Epub 2016 Oct 18.

Department of Pediatrics, Hokkaido University Hospital, Kita 15-jo Nishi 7-Chome, Kita Ward, Sapporo City, Hokkaido, Japan.

Background: Most patients with congenital nephrotic syndrome (CNS) exhibit a failure to thrive. A previous study reported that five of 41 (12 %) infants with CNS had hypertrophic pyloric stenosis (HPS) requiring surgery. The reason for this is undetermined, and there are few reports regarding the relationship between these conditions or their clinical course. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00467-016-3529-8DOI Listing
September 2017
33 Reads

Infantile hypertrophic pyloric stenosis with unusual presentations in Sagamu, Nigeria: a case report and review of the literature.

Pan Afr Med J 2016 2;24:114. Epub 2016 Jun 2.

Department of Paediatrics, Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria.

A 24-day old female Nigerian neonate presented with protracted vomiting, fever and dehydration but without palpable abdominal tumour or visible gastric peristalsis. There was no derangement of serum electrolytes. The initial working diagnosis was Late-Onset Sepsis but abdominal ultrasonography showed features consistent with the diagnosis of IHPS. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.11604/pamj.2016.24.114.8847DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5012754PMC
March 2017
50 Reads

Health disparities in infants with hypertrophic pyloric stenosis.

Am J Surg 2017 Aug 4;214(2):329-335. Epub 2016 Aug 4.

Department of Surgery, University of Tennessee Health Science Center, Memphis, TN, USA.

Background: This study investigates whether health disparities exist in infants with hypertrophic pyloric stenosis (HPS), to identify factors affecting definitive treatment, and if more morbidity occurs.

Methods: A 6-year retrospective analysis was performed on infants with HPS. Analysis of variance was used to evaluate the impact of socioeconomic factors on disease severity and hospitalization. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.amjsurg.2016.07.009DOI Listing
August 2017
26 Reads

Preface.

Semin Pediatr Surg 2016 Aug 24;25(4):197. Epub 2016 May 24.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1053/j.sempedsurg.2016.05.008DOI Listing
August 2016
13 Reads

The cervix sign and other sonographic signs of hypertrophic pyloric stenosis.

Abdom Radiol (NY) 2016 Oct;41(10):2085-6

Department of Paediatrics, SRM University, Kattankulathur Campus, Chennai, Tamilnadu, India.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00261-016-0809-5DOI Listing
October 2016
10 Reads

Laparoscopic pyloromyotomy decreases postoperative length of stay in children with hypertrophic pyloric stenosis.

J Pediatr Surg 2016 Sep 31;51(9):1436-9. Epub 2016 May 31.

Department of Pediatric Surgery, Nationwide Children's Hospital, Columbus, OH. Electronic address:

Objective: To determine the impact of laparoscopic versus open pyloromyotomy on postoperative length of stay (LOS).

Materials And Methods: The 2013 National Surgical Quality Improvement Project Pediatric database was queried for all cases of pyloromyotomy performed on children <1year old with congenital hypertrophic pyloric stenosis. Demographics, clinical, and perioperative characteristics for patients with and without a prolonged postoperative LOS, defined as >1day, were compared. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jpedsurg.2016.05.006DOI Listing
September 2016
46 Reads