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Hypertrophic Pyloric Stenosis
Hypertrophic Pyloric Stenosis
III. Etiology
Multi-factorial with environmental influences
a) Symptoms
§ Progressive non-bilious projectile vomiting at 2-8 weeks of
full-term infant
b) Signs
§ Olive mass is palpable in 70-90% of patients
§ Dehydration in cases of late presentation
V. Investigations
a) Radiology
§ Ultrasonography is the standard technique for diagnosis of HPS
§ Upper gastrointestinal contrast studies may be helpful if US is
non-conclusive
b) Laboratory
§ ABG: Hypochloremic hypokalemic metabolic alkalosis
§ CBC, PT, PTT, INR
VI. Treatment
1. Resuscitation
VIII. Complications
§ Mucosal perforation
§ Prolonged postoperative emesis; either due to GERD or
inadequate splitting of the muscles
§ Incomplete myotomy
§ Wound infection
§ Incisional hernia