Contribution of Endoscopy to Early Diagnosis of Hypertrophic Pyloric Stenosis

• Published in: Journal of pediatric gastroenterology and nutrition Vol. 18; no. 1; pp. 78 - 81
• Main Authors: De Backer, A., Bové, T., Vandenplas, Y., Peeters, S., Deconinck, P.
• Format: Journal Article
• Language: English
• Published: Hagerstown, MD Lippincott-Raven Publishers 01.01.1994; Lippincott
• Subjects: Biological and medical sciences; Diagnosis; Digestive system. Abdomen; Endoscopy; Female; Humans; Hypertrophic pyloric stenosis; Hypertrophy; Infant; Infant, Newborn; Investigative techniques, diagnostic techniques (general aspects); Male; Medical sciences; Pyloric Stenosis - diagnosis; Pyloric Stenosis - diagnostic imaging; Pyloric Stenosis - pathology; Ultrasonic investigative techniques; Ultrasonography; Vomiting; Human; Pylorus; Stenosis; Digestive diseases; Intestinal disease; Early stage; Diagnosis; Endoscopy; Child; Hypertrophy
• ISSN: 0277-2116; 1536-4801
• DOI: 10.1002/j.1536-4801.1994.tb11126.x

The diagnostic accuracy of ultrasonography and gastrointestinal endoscopy was compared in 63 infants who were operated on for infantile hypertrophic pyloric stenosis. Endoscopy was far more accurate than ultrasonography, the diagnosis being made in 97 and 81% of the cases, respectively. The difference between the techniques was even more obvious in the younger patients and in those with a short history of vomiting. The ability to detect coexistent or other causes of vomiting with endoscopy appeared advantageous. The endoscopic procedure is easily done without general anesthesia and was without complications in our series. We recommend endoscopy as an important tool in very young patients with few clinical signs other than vomiting, allowing for appropriate treatment without delay.