A study of 68 cases of infantile hypertrophic pyloric stenosis

Abstract EN

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].

Ramistedt’s (1911) later simplified the Fredet’s (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 ramistedt’s 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.

Ramistedt’s-Fredet’s pyloromytomy remains the procedure of choice in treating IHPS.