The Dutch Incidence of Infantile Hypertrophic Pyloric Stenosis and the Influence of Seasons

Conclusion We found an average IHPS incidence of 1.28 per 1,000 LB in the Netherlands. Our results showed no changing trend in incidence and no seasonal variation. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: European Journal of Pediatric Surgery - Category: Surgery Authors: Tags: Original Article Source Type: research

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Paediatr Int Child Health. 2021 Sep 14:1-4. doi: 10.1080/20469047.2021.1967626. Online ahead of print.ABSTRACTNon-bilious vomiting in preterm neonates discharged from neonatal intensive care units is a common complaint and is often associated with benign conditions such as gastro-oesophageal reflux. A neonate of 27 weeks gestation who presented later with vomiting owing to gastric outlet obstruction is described. He was discharged at 11 weeks of age and required re-admission 1 week later. He had persistent non-bilious vomiting from 7 weeks of age, failure to thrive and metabolic alkalosis. Clinical examination demonstrated...
Source: Paediatrics and international child health - Category: Pediatrics Authors: Source Type: research
CONCLUSION: Postoperative complications and mortality was comparable in patients undergoing LPPG and LDG. Registration number: NCT02595086 (http://www.clinicaltrials.gov).PMID:34487147 | DOI:10.1093/bjs/znab295
Source: The British Journal of Surgery - Category: Surgery Authors: Source Type: research
Med Sci Monit. 2021 Jul 28;27:e930974. doi: 10.12659/MSM.930974.ABSTRACTBACKGROUND The aim of this study was to explore the potential impact of pyloric stenosis (PS) on the nutritional status, the incidence of postoperative complications, and the long-term prognosis of distal gastric cancer (GC) patients after curative resection. MATERIAL AND METHODS We retrospectively analyzed the data of 343 GC patients who underwent curative gastrectomy for gastric cancer between January 2010 and December 2013. All patients were divided into 2 groups according to the status of PS. Their clinical and pathological features, nutritional in...
Source: Medical Science Monitor - Category: Research Authors: Source Type: research
Gastric outlet obstruction (GOO) is common in advanced malignant diseases, causing vomiting and loss of appetite resulting from pyloric stenosis and duodenal stenosis, and significantly reduces the patients ’ quality of life. Gastric cancer is the most common malignant disease, followed by pancreatic cancer.1 GOO may be seen as an adverse event of peptic ulcers, including postendoscopic submucosal dissection and acute pancreatitis, even in benign diseases. In advanced GOO, several interventions are r equired for the passage of water and food to the anal side and decompression of the dilatated stenotic gastric/duodenum.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Editorial Source Type: research
This article provides a brief overview and updates on hypertrophic pyloric stenosis in infants, with a focus on the surgical approach as well as perioperative management of this pathology. The most controversial aspect of the management of infants with pyloric stenosis is post-pyloromyotomy feeding, as there is no clear consensus in the literature on the best regimen. More randomized controlled trials are needed to establish the optimal resuscitation protocol in the preoperative phase and the ideal feeding regimen in the postoperative phase for infants with hypertrophic pyloric stenosis. [Pediatr Ann. 2021;50:(3):e136-e141...
Source: Pediatric Annals - Category: Pediatrics Authors: Source Type: research
Publication date: August 2021Source: Journal of Pediatric Surgery Case Reports, Volume 71Author(s): James G. Glasser
Source: Journal of Pediatric Surgery Case Reports - Category: Surgery Source Type: research
Infantile hypertrophic pyloric stenosis (IHPS) is a complex disorder with an incidence from 4 to 5 per 1000 live births with a strongly male predilection. The natural history of this initially fatal condition with nearly 100% mortality has evolved to a disease with a good prognosis. Pyloromyotomy by Ramstedt was first described 110 years ago and still remains the standard of surgical treatment for patients with IHPS. The laparoscopic approach is becoming more common and is the preferred method of treatment now in many centres.
Source: Journal of Pediatric Surgery - Category: Surgery Authors: Source Type: research
CONCLUSION: The proportion of the pediatric surgery performed by PS rather than GS is increasing in Korea, but it is still widely performed by GS. PSs have better operative outcomes for acute abdominal surgery in the NICU than GSs. We believe that at least the index operation or the NICU operation should be performed by PS for better outcome, and that a minimum of 63 PSs are needed in Korea to do so. In addition, approximately 200 PSs will be required in Korea in order to manage main pediatric diseases and to achieve more advanced pediatric surgery in the future.PMID:33975393 | DOI:10.3346/jkms.2021.36.e116
Source: Journal of Korean Medical Science - Category: Biomedical Science Authors: Source Type: research
AbstractSurgical site infections (SSIs) are the most common healthcare-associated infections in patients undergoing surgery. Various randomised control trials (RCTs) indicate that laparoscopic procedures can be associated with better outcomes compared to open procedures. However, how open versus laparoscopic approaches compare across various paediatric procedures with respect to SSI rate remains poorly defined. In this review, we examined RCTs that directly compare SSI rates after open versus laparoscopic operations for appendicitis, gastro-esophageal reflux, inguinal hernia, and pyloric stenosis. MEDLINE, Embase, and Web ...
Source: Pediatric Surgery International - Category: Surgery Source Type: research
Publication date: Available online 15 April 2021Source: Journal of Pediatric Surgery Case ReportsAuthor(s): C. Plessi, M. Sica, F. Molinaro, G. Fusi, F. Rossi, M. Costantini, F. Roviello, L. Marano, A. D'ignazio, C. Spinelli, R. Angotti
Source: Journal of Pediatric Surgery Case Reports - Category: Surgery Source Type: research
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