Imaging findings in infants with recurrent vomiting after pyloromyotomy: a pictorial review

Hypertrophic pyloric stenosis (HPS) is a common entity with an incidence of 2–4 per 1000 live births. Current definitive treatment is with pyloromyotomy, which is usually performed laparoscopically. The procedure is generally well tolerated with resolution of the patient’s symptoms. In a small perce...

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Published inEmergency Radiology Vol. 22; no. 6; pp. 691 - 695
Main Authors Iranmanesh, A. M., Pawley, B. K., Rice, M. M., Richer, E. J.
Format Journal Article Book Review
LanguageEnglish
Published Berlin/Heidelberg Springer Berlin Heidelberg 01.12.2015
Springer Nature B.V
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Abstract Hypertrophic pyloric stenosis (HPS) is a common entity with an incidence of 2–4 per 1000 live births. Current definitive treatment is with pyloromyotomy, which is usually performed laparoscopically. The procedure is generally well tolerated with resolution of the patient’s symptoms. In a small percentage of patients, however, there is recurrent vomiting which warrants further investigation. In this pictorial review, the expected post-operative appearance of the pylorus will be described, and the imaging findings and clinical course of two patients with recurrent vomiting after pyloromyotomy will be presented.
AbstractList Hypertrophic pyloric stenosis (HPS) is a common entity with an incidence of 2-4 per 1000 live births. Current definitive treatment is with pyloromyotomy, which is usually performed laparoscopically. The procedure is generally well tolerated with resolution of the patient's symptoms. In a small percentage of patients, however, there is recurrent vomiting which warrants further investigation. In this pictorial review, the expected post-operative appearance of the pylorus will be described, and the imaging findings and clinical course of two patients with recurrent vomiting after pyloromyotomy will be presented.
Author Iranmanesh, A. M.
Rice, M. M.
Pawley, B. K.
Richer, E. J.
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  organization: Department of Radiology, C.S. Mott Children’s Hospital, University of Michigan
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10.7863/jum.2007.26.12.1681
10.1016/0002-9610(64)90209-0
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Keywords Stenosis
Infant
Pyloric
Vomiting
Pyloromyotomy
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References HallNJPacilliMRecovery after open versus laparoscopic pyloromyotomy for pyloric stenosis: a double-blind multicentre randomised controlled trialLancet200937339039810.1016/S0140-6736(09)60006-419155060
MuramoriKNagasakiAKawanamiTUltrasonographic serial measurements of the morphologic resolution of the pylorus after Ramstedt pyloromyotomy for infantile hypertrophic pyloric stenosisJ Ultrasound Med2007261681168718029919
BensonCDLloydJRInfantile pyloric stenosis: a review of 1,120 casesAm J Surg196410734294331:STN:280:DyaF2c%2FoslSksw%3D%3D10.1016/0002-9610(64)90209-014129316
Olive AP, Endom EE (2015) Infantile hypertrophic pyloric stenosis. www.uptodate.com/contents/infantile-hypertrophic-pyloric-stenosis#H17026729. Accessed 30 July 30, 2015
SiegelMJPediatric sonography2010PhiladelphiaLippincott Williams & Wilkins
18029919 - J Ultrasound Med. 2007 Dec;26(12 ):1681-7
19155060 - Lancet. 2009 Jan 31;373(9661):390-8
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Snippet Hypertrophic pyloric stenosis (HPS) is a common entity with an incidence of 2–4 per 1000 live births. Current definitive treatment is with pyloromyotomy, which...
Hypertrophic pyloric stenosis (HPS) is a common entity with an incidence of 2-4 per 1000 live births. Current definitive treatment is with pyloromyotomy, which...
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SubjectTerms Emergency Medicine
Female
Humans
Imaging
Infant
Male
Medicine
Medicine & Public Health
Pictorial Essay
Postoperative Nausea and Vomiting - etiology
Pyloric Stenosis, Hypertrophic - surgery
Pylorus - surgery
Radiology
Recurrence
Reoperation
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Title Imaging findings in infants with recurrent vomiting after pyloromyotomy: a pictorial review
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