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Case Report
A Case of Ileal Atresia with Hypertrophic Pyloric Stenosis
Byung Chan Lim, Jung Ha Lee, Kwang Sig Kim, Guk Myung Choi, Kyung Sue Shin, Jung Yun Hong, Youn Woo Kim
Clin Exp Pediatr. 2003;46(4):393-396.   Published online April 15, 2003
Ileal atresia, a subtype of intestinal atresia, is one of the well-recognized causes of bowel obstruction in newborns. Prenatal diagnosis of intestinal atresia is very important in its management and outcome. Unfortunately, there are few cases of ileal atresia diagnosed prenatally, so more appropriate diagnoses and management plans are needed. As an associated gastrointestinal malformation with ileal atresia, hypertrophic pyloric...
A Case of Pseudo-Bartter's Syndrome Due to Hypertrophic Pyloric Stenosis
Yoon Hee Kim, Yoon Hee Kim, Tae Ho Lee, Tae Ho Lee, Hong Bae Kim, Hong Bae Kim
Clin Exp Pediatr. 2002;45(11):1430-1434.   Published online November 15, 2002
We report a 3-month old boy admitted to our hospital with Bartter's syndrome like symptoms and laboratory findings, which were vomiting, failure to thrive, hypochloremic and hypokalemic metabolic alkalosis associated with hyperreninemia, hyperaldosteronism and normal blood pressure. However, the urine chloride level was low. Hypertrophic pyloric stenosis was diagnosed through abdominal ultrasonography. Fredet-Ramstedt operation was done after electrolyte correction. After...
Original Article
A Clinical Study of Hypertrophic Pyloric Stenosis
Yoon Hee Kim, Myung Sup Jung, Soon Ok Byun
Clin Exp Pediatr. 2002;45(11):1389-1396.   Published online November 15, 2002
Purpose : This study was done to analyze the changes in the clinical conditions and the diagnosis of hypertrophic pyloric stenosis. Methods : We report a retrospective clinical analysis of 39 patients with hypertrophic pyloric stenosis from Jan. 1992 to Aug. 2001. The age and sex distribution, family and birth history, clinical symptoms, the ultrasonographic and the operative sizes of pyloric canals were compared. Results...
Significance between Ultrasonographic and Operative Findings in Hypertrophic Pyloric Stenosis
Jun Ho Kim, Woo Taek Kim, Byeong Ook Jung
Clin Exp Pediatr. 2001;44(4):426-432.   Published online April 15, 2001
Purpose : The diagnosis of hypertrophic pyloric stenosis(HPS) can be made by clinical manifestations and upper gastrointestinal(UGI) series in most cases. Recently, the ultrasonogram(US) is a more accurate and reliable method for the diagnosis of HPS in early stage. Methods : We retrospectively studied 27 HPS patients confirmed surgically from January 1999 to March 2000. We reviewed clinical histories and physical and laboratory findings....
Case Report
Two Cases of Congenital Paraesophageal Hiatal Hernia in Infancy
Ji Yeon Hong, Kih Yeon Song, Woo Ki Lee, Kwang Woo Kim, Jong Gon Ha, Soon Ok Choi
Clin Exp Pediatr. 2000;43(12):1613-1620.   Published online December 15, 2000
Herniation of the stomach through the esophageal hiatus into the posterior mediastinum is a commom affliction of humans. The incidence of hiatal hernia is difficult to determine because of the absence of symptoms in a large number of patients. Hiatal hernias are classified into two major types; type I sliding hiatal hernia and type II paraesophageal hiatal hernia. Sliding hernia...
Original Article
Infantile Hypertrophic Pyloric Stenosis Treated with Intravenous Atropine Sulfate
Jae Woo Lim, Hee Sook Son, Kye Shik Shim, Kyu Chul Choeh, Tae Il Han
Clin Exp Pediatr. 2000;43(6):763-768.   Published online June 15, 2000
Purpose : The pharmacologic effect of atropine on HPS can be considered to control pyloric muscle spasm. Therefore, we studied the effects of intravenous atropine sulfate on the clinical course of HPS, and periodically observed the ultrasonographic appearance of the pyloric muscles after atropine treatment. Methods : From April 1998 to May 1999, 14 infants who were diagnosed with HPS were...
Case Report
Two Cases of Successful Treatment with Atropine Sulfate in Persistent Vomiting beyond Pyloromyotomy of Infantile Hypertrophic Pyrolic Stenosis
Won Jung Kim, Min Jung Kim, Woo Jae Jo, Jae Young Kim, Sung Won Kim
Clin Exp Pediatr. 2000;43(5):704-709.   Published online May 15, 2000
Infantile hypertrophic pyloric stenosis(IHPS) is the most common condition requiring abdominal surgery in early infancy, and is caused by hypertrophied pyloric muscle. The development of successful surgical treatment in the early 1900s by Fredet and Ramstedt made it possible for infants worldwide to survive. Modern pediatric anesthetic techniques have virtually eliminated mortality from surgical management. Atropine sulfate is a cholinergic...
Medical Treatment of Infantile Hypertrophic Pyloric Stenosis Using Intravenous Atropine Sulfate
Kun Hee Lim, Son Moon Shin, Han Ku Moon, Mi Soo Hwang
Clin Exp Pediatr. 1999;42(6):874-878.   Published online June 15, 1999
Infantile hypertrophic pyloric stenosis(IHPS) is one of the most common causes of nonbilious vomiting in early infancy, and is caused by hypertrophied pyloric muscle but its exact etiology and pathogenesis are still unknown. Fredet-Ramstedt pyloromyotomy has been accepted as the treatment of choice for IHPS. Atropine is a cholinergic blocking agent with potent antimuscarinic activity that decreases peristaltic contractions...
A Case of Successful Management of Hypertrophic Pyloric Stenosis with Endoscopic Balloon Dilatation
Cheol Ho Chang, Churl Young Chung
Clin Exp Pediatr. 1999;42(1):143-147.   Published online January 15, 1999
Endoscopic balloon dilatation has provided a non-operative means of managing obstructive lesions in the gastrointestinal tract. In an infant with idiopathic hypertrophic pyloric stenosis(IHPS), the stenosis was successfully dilated with endoscopic balloon dilatation. Endoscopic balloon dilatation was performed using a 9mm endoscope and through-the-scope(TTS) balloon catheter (diameter 10 to 12mm). Dilatation was performed two times for 5 minutes. The 9mm...
Original Article
Ultrasonographic Diagnosis by Pyloric Volume Measurement in Congenital Hypertrophic Pyloric Stenosis
Soon Kil Lee, Jae Wha Oh, Yeon Kyun Oh, Chang Guhn Kim
Clin Exp Pediatr. 1994;37(11):1595-1599.   Published online November 15, 1994
Real-time ultrasonogram was performed in 31 Pt. With CHPS, who was admitted at the pediatric department of Wonkwang University hospital from January 1991 to June 1993. Those who had positive results of pyloric volume for diagnosis of CHPS and were confirmed by surgery. The results were at follows, 1) The average ultrasonographic measurements of pyloric muscle thickness, pyloric diameter, pyloric length were...
Ultrasonographic Diagnosis of Congenital Hypertrophic Pyloric Stenosis
Chung Hyun Yun, Kwang Sin Kim, Young Wook Kim, Ki Bok Kim
Clin Exp Pediatr. 1994;37(4):494-501.   Published online April 15, 1994
Ultrasonic evaluation of the pylorus was performed in a group of 22 infants clinically suspected of having Congenital Hypertrophic Pyloric Stenosis (CHPS), from march 1990 to July 1991. In every case the diagnosis of CHPS was confirmed by surgery. Ten normal babies served as the control group. 1) In CHPS group, the mean age on admission was 36.7¡¾16.4 days, and male...
Case Report
A Case of Congenital Hypertrophic Pyloric Stenosis in Two Siblings
Yung Min Jang, Mi Ran Park, Sung Yoon Byun, Jae Young Kim, In Sang Jeon, Kwang Jun Kim
Clin Exp Pediatr. 1993;36(7):1025-1029.   Published online July 15, 1993
Original Article
A case of 11q deletion syndrome.
Hye Kyeong Nam, Rhee Choi, Chang Hwi Kim, Sang Jhoo Lee
Clin Exp Pediatr. 1991;34(11):1587-1592.   Published online November 30, 1991
11q-syndrome is a rare chromosomal anomaly. We experienced a case of llq deletion syndrome in a female infant. It was diagnosed by clinical features and chromosomal study. She had multiple anomalies such as flat occiput, hypertelorism, low set malformed ear, anteverted nostril, small carp-shaped mouth, micrognathia, hypertrophic pyloric stenosis and ventricular septal defect. Chromosomal study showed partial terminal deletion of the long arm of chromosome...
A clinical study of congenital hypertropic pyloric stenosis.
Eun Chin Mun, Hae Jin Lee, Son Sang Seo, Jung Woo Yang
Clin Exp Pediatr. 1991;34(5):637-644.   Published online May 31, 1991
This study was a review and clinical analysis of 77 cases of congenital hypertrophic pyloric stenosis at II Sin Christian Hospital from Jan. 1980. to Mar. 1990. The result was as follows. 1) At age distribution, the most prevalent age group was between 4 weeks and 6 weeks, and ratio of male to female was about 3.8:1. 2) Among 77 cases, the first bom was most affected...
Ultrasonographic Diagnosis of Congenital Hypertrophic Pyloric Stenosis.
Shin Heh Kang, Chul Lee, Ran Namgung, Dong Gwan Han, Ki Keun Oh, Seung Hun Choi
Clin Exp Pediatr. 1989;32(6):756-764.   Published online June 30, 1989
The diagnosis of congenital hypertrophic pyloric stenosis has traditionally been made on the basis of history and physical examination in the majority of patients. Imaging procedures such as UGI series have been reserved for vomiting infats in whom the diagnosis was obscure. More recently ultrasonography with the lack of hazards associated with radiation provides an additional method of investigation which is accurate and diagnose...
A Clinical Study of Congenital Hypertrophic Pyloric Stenosis.
Kwang Sun Park, Young Ki Park, Jong Wan Kim, Chang Kyu Oh, Mahn Kyoo Yang
Clin Exp Pediatr. 1989;32(1):27-33.   Published online January 31, 1989
We experienced 23 patients with congential hypertrophic pyloric stenosis from Dec. 1978 to Aug. 1987 The age and sex distribution, family and birth history, clinical symptoms with prognosis etc. were reviewed. The results were as follows. 1) Most of the patients (20 cases, 87%) represented symptoms within 6 weeks of age. 2) Male was predominated than female by the ratio of 19:4. 3) The first baby was...
Clinical Evaluation of Ultrasonographic Findings in Congenital Hypertrophic Pyloric Stenosis.
Gyu Ho Lim, Young Bin Cho, Young Choon Woo, Ki Yang Ryoo
Clin Exp Pediatr. 1986;29(9):954-963.   Published online September 30, 1986
Congenital hypertrophic pyloric stenosis is the most common intraabdominal condition requiring surgery during the first few months of life. In many cases the diagnosis can be made clinically by a history of projetile vomiting, and by palpation of a pyloric tumor. Barium study is considered necessary if the diagnosis can not be established with certainty on physical sign alone. We...
Case Report
A Case of Congenital Hypertrophic Pylocric Stenosis Associated with Gastroesophageal Reflux.
Eui Soo Park, Dong Won Lee, Woo Gill Lee, Poong Man Jung
Clin Exp Pediatr. 1982;25(2):190-194.   Published online February 28, 1982
Congenital hypertrophic pyloric stenosis is characterized by projectile vomiting and pyloric thickening, and must be differentiated with gastroesophageal reflux. Gastroesophageal reflux may defined as relaxation of lower esophageal sphincter causing return of stomach content into eophagus, and frequently associated with hiatal hernia. The authors presented a case, having congenital hypertrophic pyloric stencsis and gastroesophageal reflux simultaneously which must be differentiated...