All issues > Volume 34(5); 1991

Original Article

J Korean Pediatr Soc. 1991;34(5):637-644. Published online May 31, 1991.

A clinical study of congenital hypertropic pyloric stenosis.

Eun Chin Mun¹, Hae Jin Lee¹, Son Sang Seo¹, Jung Woo Yang²

¹Department of Pediatrics, Il Sin Christian Hospital, Pusan, Korea
²Department of Surgery, Il Sin Christian Hospital, Pusan, Korea

Received: March 13, 1990;  Accepted: December 18, 1990.

Abstract

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 (64.9%). 3) The age at onset was within 3 weeks of age in majority cases(67.6%). 4) The clinical symptoms were no bile stained projectile vomiting, dehydration, weight loss and constipation; vomiting was observed in all cases. 5) On physical examination, gastric peristaltic wave was observed in 67 cases (87%) and pyloric tumor was palpated in 66 cases (85.7%). 6) There were 4 cases of anemia (5.2%), 10 cases of hyperbilirubinemia (12.9%), 26 cases of hypoch- loremia (33.8%) and 13 cases of hypokalemia (16.9%) on laboratory test. 7) The diagnosis was confirmed by clinical symptoms, physical examination, UGI and sonography. 8) Sixty-eight cases (88.3%) were surgically treated with Fredet-Ramstedt pyloromyotomy without any complication and average duration of admission was 6.2days.

Keywords :Congenital hypertrophic pyloric stenosis