Contemporary management of pyloric stenosis

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• 作者：Matthew Jobson ; BM ; MRCS^a ; Nigel J. Hall ; MA ; MB BChir ; MRCPCH ; FRCS ; PhD^a ; ^b ; ^{n.j.hall@soton.ac.uk" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Hypertrophic pyloric stenosis ; Pyloromyotomy ; Metabolic alkalosis ; Vomiting
• 刊名：Seminars in Pediatric Surgery
• 出版年：2016
• 出版时间：August 2016
• 年：2016
• 卷：25
• 期：4
• 页码：219-224
• 全文大小：283 K

文摘

Hypertrophic pyloric stenosis is a common surgical cause of vomiting in infants. Following appropriate fluid resuscitation, the mainstay of treatment is pyloromyotomy. This article reviews the aetiology and pathophysiology of hypertrophic pyloric stenosis, its clinical presentation, the role of imaging, the preoperative and postoperative management, current surgical approaches and non-surgical treatment options. Contemporary postoperative feeding regimens, outcomes and complications are also discussed.