Advances in pediatric surgery
- Volume 4 Issue 2
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- Pages.149-155
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- 1998
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- 2635-8778(pISSN)
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- 2635-8786(eISSN)
Infantile Hypertrophic Pyloric Stenosis - A Survey by the Korean Association of Pediatric Surgeons -
영아 비후성 유문협착증 - 대한소아외과학회 정회원을 대상으로 한 전국조사 -
- Kim, I.K. (The Korean Association of Pediatric Surgeons) ;
- Kim, S.Y. (The Korean Association of Pediatric Surgeons) ;
- Kim, S.K. (The Korean Association of Pediatric Surgeons) ;
- Kim, W.K. (The Korean Association of Pediatric Surgeons) ;
- Kim, J.E. (The Korean Association of Pediatric Surgeons) ;
- Kim, J.C. (The Korean Association of Pediatric Surgeons) ;
- Kim, H.H. (The Korean Association of Pediatric Surgeons) ;
- Park, K.W. (The Korean Association of Pediatric Surgeons) ;
- Park, Y.S. (The Korean Association of Pediatric Surgeons) ;
- Park, W.H. (The Korean Association of Pediatric Surgeons) ;
- Song, Y.T. (The Korean Association of Pediatric Surgeons) ;
- Yang, J.W. (The Korean Association of Pediatric Surgeons) ;
- Oh, S.M. (The Korean Association of Pediatric Surgeons) ;
- Yoo, S.Y. (The Korean Association of Pediatric Surgeons) ;
- Lee, D.S. (The Korean Association of Pediatric Surgeons) ;
- Lee, M.D. (The Korean Association of Pediatric Surgeons) ;
- Lee, S.K. (The Korean Association of Pediatric Surgeons) ;
- Lee, S.C. (The Korean Association of Pediatric Surgeons) ;
- Chang, S.I. (The Korean Association of Pediatric Surgeons) ;
- Chung, S.Y. (The Korean Association of Pediatric Surgeons)
- 김인구 (대한소아외과학회) ;
- 김상윤 (대한소아외과학회) ;
- 김신곤 (대한소아외과학회) ;
- 김우기 (대한소아외과학회) ;
- 김재억 (대한소아외과학회) ;
- 김재천 (대한소아외과학회) ;
- 김현학 (대한소아외과학회) ;
- 박귀원 (대한소아외과학회) ;
- 박영식 (대한소아외과학회) ;
- 박우현 (대한소아외과학회) ;
- 송영택 (대한소아외과학회) ;
- 양정우 (대한소아외과학회) ;
- 오수명 (대한소아외과학회) ;
- 유수영 (대한소아외과학회) ;
- 이두선 (대한소아외과학회) ;
- 이명덕 (대한소아외과학회) ;
- 이석구 (대한소아외과학회) ;
- 이성철 (대한소아외과학회) ;
- 장수일 (대한소아외과학회) ;
- 정상영 (대한소아외과학회)
- Published : 1998.12.30
Abstract
Thirty three members of the Korean Association of Pediatric Surgeons were surveyed to determine the clinical manifestations and current management of infantile hypertrophic pyloric stenosis (IHPS). The members completed a registration form and a questionnaire that indicated their treatment preferences for patients treated during 1996. The response rate was 84.8 %, and 23 institutions participated. Three hundred and sixty-three cases of IHPS were analysed. The male to female ratio was 5.15: 1. The presenting symptoms were nonbilious vomiting in 363 cases(100 %), palpable mass in the upper abdomen in 200 cases (55.1 %) and visible peristaltic waves in 67 cases(18.5 %). Fluid therapy was done in 161 cases(44.4 %) for preoperative preparation. Twenty patients(5.5 %) were premature. There were 27 low birth weight babies(7.7 %). The onset of symptoms ranged from 1 to 14 weeks of age with a peak occurrence at 2 to 4 weeks of age. Two hundred and thirty-six cases(66.6 %) presented within 4 weeks of age. There was one set of male twins and a family history of twins. The modes of feedings were: breast feeding; 69 cases(24.5 %), formula feeding; 176 cases(62.4 %) and mixed feeding; 37 cases(13.1 %). The preferred diagnostic modalities were ultrasonography (US) 229 cases(63.1 %), UGI series 27 cases(7.4%) and US and UGI series combined 86 cases(23.7 %). Only 21 cases(5.8 %) were operated on without imaging study, ie. with positive physical finding. Perforation of the mucosa during pyloromytomy occurred in 5 cases. All were treated successfully with primary closure. Persistent vomiting over 2 weeks after operation were reported in 5 cases. Three wound infections, one aspiration pneumonia and one postoperative bleeding were reported. There was no mortality in 363 cases.