All issues > Volume 8(2); 1965

Original Article

J Korean Pediatr Soc. 1965;8(2):57-65. Published online May 31, 1965.

Congenital Hypertrophic Pyloric Stenosis

Joung Hee Bai¹, Sung Whan Chung¹, Yun Wha Kim¹, Hong Yul Lee¹, Sha Hun Lee²

¹Department of Pediatrics St. Mary’s Hospital, Catholic Medical College, Seoul, Korea
²Department of Surgery, St. Mary’s Hospital, Catholic Medical College, Seoul, Korea

Abstract

This report presents seven cases of Congenital Hypertrophic Pyloric Stenosis, which were treated in the department of Pediatrics, St. Mary’s Hospital during the past three years from April, 1962 to January, 1965. Six cases were unequivocally demonstrated when pylorostomy(Fredet-Ramstedt method) was performed in the early stage of infancy, and symptoms of stenosis completely disappeared after the operation. Attempt was made to treat one of them nonsurgically as long as a month, but it was unsuccessful. In all cases onset came within 2-6 weeks of age when first symptoms of stenosis commonly appear. Characterized projectile vomiting, hyperperistlitic waves and pyloric tumor were present in all cases, but fluoroscopy in one of them failed to demonstrate the characteristic X-ray findings. Regardless of the difficulties to determine the way of treatment as well as the etiologic factors in this disease, relief of the pyloric obstruction by operation as soon as the diagnosis is established and metabolic imbalances are corrected seems to be the treatment of choice.

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