Current management of hypertrophic pyloric stenosis.

Abstract:

:Hypertrophic pyloric stenosis (HPS) is a common condition affecting infants that presents with progressive projectile nonbilious vomiting. The pyloric portion of the stomach becomes abnormally thickened and manifests as gastric outlet obstruction. The cause is unknown. Pyloromyotomy remains the standard of treatment and outcome is excellent. This article reviews the diagnostic work up and imaging, preoperative resuscitation, the various surgical approaches used, and the effect of subspecialty training on outcomes after pyloromyotomy. Postoperative care and the variety of postoperative feeding regimens applied after pyloromyotomy are reviewed, as well as intra- and postoperative complications. Finally, medical management, in lieu of surgery, is discussed.

journal_name

Semin Pediatr Surg

authors

Aspelund G,Langer JC

doi

10.1053/j.sempedsurg.2006.10.004

subject

Has Abstract

pub_date

2007-02-01 00:00:00

pages

27-33

issue

1

eissn

1055-8586

issn

1532-9453

pii

S1055-8586(06)00079-5

journal_volume

16

pub_type

杂志文章,评审
  • Parathyroid conditions in childhood.

    abstract::This review of parathyroid surgery in children will briefly discuss parathyroid gland embryology and anatomy before focusing on the pathophysiology, clinical presentation, and treatment of hyperparathyroidism in children. Hyperparathyroidism (HPT) is the overproduction of PTH and it is rare in children, with an incide...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2014.03.003

    authors: Burke JF,Chen H,Gosain A

    更新日期:2014-04-01 00:00:00

  • MIBG in neuroblastoma diagnosis and treatment.

    abstract::Neuroblastoma is a heterogenous disease, with solid tumors arising in the adrenal gland or paraspinal regions in young children. Neuroblastoma is unique, with varied presentation and prognosis based on primary location and tumor stage. Tumor behavior and response to treatment ranges from spontaneous regression to diss...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.sempedsurg.2019.150859

    authors: Olecki E,Grant CN

    更新日期:2019-12-01 00:00:00

  • Intestinal innate immunity: how does it relate to the pathogenesis of necrotizing enterocolitis.

    abstract::The pathogenesis of necrotizing enterocolitis (NEC) is poorly understood, but appears to be multifactorial and highly associated with immaturity of the gastrointestinal tract, colonization of the intestinal microbiota, and immature innate immune system. The goal of this review is to provide an overview of some of thes...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2005.05.001

    authors: Neu J,Chen M,Beierle E

    更新日期:2005-08-01 00:00:00

  • Genetics of congenital diaphragmatic hernia.

    abstract::Congenital diaphragmatic hernia (CDH) is a common structural birth defect that affects approximately 1 in 2500 live births. Although the exact etiology of most cases of CDH remains unknown, it is becoming increasingly clear that genetic factors play an important role in many cases of CDH. In this paper, we review crit...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2007.01.003

    authors: Scott DA

    更新日期:2007-05-01 00:00:00

  • Virtue ethics in a pluralistic world.

    abstract::The practice of pediatric surgery is at the crossroads of 2 specialties, pediatrics and surgery. At that vantage point, many ethical dilemmas can be seen. It is important for the pediatric surgeon to understand the special place of ethics in the care of children and how that care is influenced by society. The purpose ...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/spsu.2001.26837

    authors: Beals DA

    更新日期:2001-11-01 00:00:00

  • Blunt cerebrovascular injury in children.

    abstract::Blunt cerebrovascular injury in children is an uncommon occurrence that if missed and left untreated can result in devastating long-term neurologic consequences. Diagnosis can be readily obtained by a computed tomographic angiogram of the head and neck. If confirmed, treatment with antithrombotic therapy dramatically ...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2017.01.003

    authors: Fenton SJ,Bollo RJ

    更新日期:2017-02-01 00:00:00

  • Pathology of inflammatory bowel disease.

    abstract::Inflammatory bowel disease in childhood refers to ulcerative colitis, Crohn's disease, and colitis of an indeterminate type. Their gross and microscopic features are discussed along with the differential diagnosis from other childhood conditions associated with bloody diarrhea. ...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2007.04.005

    authors: Gramlich T,Petras RE

    更新日期:2007-08-01 00:00:00

  • Classification of anorectal malformations--initial approach, diagnostic tests, and colostomy.

    abstract::The optimal surgical care of patients with imperforate anus begins with appropriate decision making in the critical newborn period. In most cases the decision to create a colostomy should be delayed until the infant is 18 to 24 hours old. Except in cases of a rectoperineal fistula, most neonates are best treated with ...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Shaul DB,Harrison EA

    更新日期:1997-11-01 00:00:00

  • Recent progress in pediatric soft tissue sarcoma therapy.

    abstract::Soft tissue sarcomas of childhood are a heterogenous group of tumors with a wide spectrum of presentations and outcomes. Most patients require multimodal therapy with chemotherapy, surgery and/or radiation. Improved outcomes in recent decades have been achieved through improvements in the comprehensive care of these c...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.sempedsurg.2019.150862

    authors: Lautz TB,Hayes-Jordan A

    更新日期:2019-12-01 00:00:00

  • A brief primer for pediatric urologists and surgeons on developmental psychopathology in the exstrophy-epispadias complex.

    abstract::Developmental psychopathology is common in children with exstrophy. It may be mild or severe, and it may persist or transform as the child grows. The pediatric urologist is ideally situated to identify signs or symptoms of early developmental psychopathology in these children. Presented in this article are techniques ...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2010.12.010

    authors: Reiner WG

    更新日期:2011-05-01 00:00:00

  • Congenital diaphragmatic hernia: an overview.

    abstract::Understanding the complex multisystem dysfunction in the infant with a congenital hernia of the posterolateral diaphragm is still evolving and has changed radically during the last decade. The reduction in lung mass, in conjunction with surfactant deficiency and diminished compliance, leads to initial deficiencies in ...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Greenholz SK

    更新日期:1996-11-01 00:00:00

  • Contemporary interventional procedures for vascular disorders in children.

    abstract::Pediatric interventional radiology offers new treatment options not possible a few years ago. Interventional radiologists treat not only certain causes of hemorrhage but also symptomatic arteriovenous malformations, renovascular hypertension, and portal hypertension. Interventionalists help maintain liver and renal tr...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Iglesia KA,Fellows KE

    更新日期:1994-05-01 00:00:00

  • Islet cell transplantation in children.

    abstract::This paper aims to provide an overview of islet cell transplantation in children, with specific attention to pediatric total pancreatectomy with islet autotransplantation (TPIAT). We will summarize the definition and causes of chronic pancreatitis in children, the TPIAT procedure and potential complications, the proce...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/j.sempedsurg.2020.150925

    authors: Balamurugan AN,Elder DA,Abu-El-Haija M,Nathan JD

    更新日期:2020-06-01 00:00:00

  • New tools in the treatment of motility disorders in children.

    abstract::Gastrointestinal motility disorders can develop in neurologically impaired children and those with congenital malformations of the gut. It is characterized by moderate to severe abdominal pain, vomiting, and failure to thrive. Antral dysmotility after fundoplication and increased sympathetic over activity are 2 factor...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2009.07.009

    authors: Carachi R,Currie JM,Steven M

    更新日期:2009-11-01 00:00:00

  • Overview of current pediatric burn care.

    abstract::Burn injuries affect approximately a million children in the United States on an annual basis. Moderate to severe burns require hospitalization, usually under the direction of a Pediatric Surgical service. Despite advancements in burn treatment, pediatric burn injuries account for approximately 2500 deaths annually. T...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2014.11.008

    authors: Gonzalez R,Shanti CM

    更新日期:2015-02-01 00:00:00

  • Planning the operation.

    abstract::The management of conjoined twins falls into three distinct groups-non-operative, emergency separation and elective separation. Planning meetings involving all the personnel who will be required during the operation are held. The radiological findings are presented and the anaesthetic, nursing and intensive care requi...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章

    doi:10.1053/j.sempedsurg.2015.06.004

    authors: Kiely EM,Spitz L

    更新日期:2015-10-01 00:00:00

  • Gene transfer to the tracheobronchial tree: implications for fetal gene therapy for cystic fibrosis.

    abstract::Gene transfer to the tracheobronchial tree has been an active area of investigation since the discovery of the genetic defect in the cystic fibrosis transmembrane conductance regulator over two decades ago. Cystic fibrosis (CF) is the most common lethal monogeneic disorder for which there is no cure short of lung tran...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2003.09.007

    authors: Keswani SG,Crombleholme TM

    更新日期:2004-02-01 00:00:00

  • Telemedicine in the perioperative experience.

    abstract::Telemedicine, the remote diagnosis and treatment of patients by means of technology, provides an alternative means for patients to gain access to health care services. Telemedicine is a general term that includes the use of various communication technologies, including telephone, email, or videoconferencing. Telemedic...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2018.02.007

    authors: Lesher AP,Shah SR

    更新日期:2018-04-01 00:00:00

  • Medical management of pediatric intestinal failure.

    abstract::The outcome for children with congenital enteropathies or massive surgical resections has improved significantly over the past two decades. Advances in understanding of the pathophysiology of intractable diarrhea and of the mutations causing many of the congenital enteropathies have enabled initiation of preventive me...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2009.11.003

    authors: Kocoshis SA

    更新日期:2010-02-01 00:00:00

  • Surgical options for short bowel syndrome.

    abstract::Most children with short bowel syndrome experience spontaneous small bowel adaptation over time. This allows the majority to be weaned from parenteral nutrition. There are, however, some children who cannot be weaned and are potential candidates for techniques to promote intestinal adaptation and intestinal lengthenin...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/spsu.2001.22855

    authors: Vernon AH,Georgeson KE

    更新日期:2001-05-01 00:00:00

  • Retroperitoneoscopic surgery in children.

    abstract::Even if no large comparative studies enable us to definitely confirm the potential advantages of minimal retroperitoneoscopic access surgery, this new technique is now expanding in pediatric urology and considered today as feasible and safe in well-trained hands. The technique is described in detail; the main indicati...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章

    doi:10.1053/j.sempedsurg.2007.06.010

    authors: Valla JS

    更新日期:2007-11-01 00:00:00

  • Modern approaches in primary exstrophy closure.

    abstract::Until the 1970s, bladder exstrophy was a frequently fatal birth defect that, at the very least, conferred a shortened life span with devastating consequences for afflicted patients. Beginning with the modern era of surgical management, survival has become routine, and now the focus is on optimizing a near-normal retur...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2011.01.001

    authors: Purves JT

    更新日期:2011-05-01 00:00:00

  • Acute abdomen. Special considerations for the neurologically and immunologically impaired child.

    abstract::The neurologically or immunologically impaired child suspected of having an acute abdomen presents a formidable challenge. However, a thorough understanding of the underlying pathophysiology of the disease on the normal host response to an intraabdominal disease permits early recognition and initiation of treatment. C...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章

    doi:

    authors: Bensard DD,Haase GM

    更新日期:1997-05-01 00:00:00

  • Surgical anatomy of the mediastinum.

    abstract::After a short description of mediastinal anatomy and embryology, the authors illustrate the division of the mediastinum, based on criteria of either surgical anatomy or radiological anatomy. Lastly, they discuss the topographical distribution of the mediastinal masses in anterior, visceral, and posterior compartments ...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/s1055-8586(99)70018-1

    authors: Esposito C,Romeo C

    更新日期:1999-05-01 00:00:00

  • The pathology of congenital lung lesions.

    abstract::The spectrum of complications associated with congenital lung malformation is wide. They can range from fetal hydrops in utero to postnatal problems of ventilation, obstruction and infection; presentation may occur from the neonatal period to adulthood. Many lesions will remain asymptomatic while at the other end of t...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2015.02.002

    authors: Fowler DJ,Gould SJ

    更新日期:2015-08-01 00:00:00

  • Enhanced recovery after surgery among adolescents undergoing bariatric surgery.

    abstract::Enhanced recovery after surgery (ERAS) has evolved over the past two decades. Originally aimed to standardize care among adults undergoing colorectal surgery, the tenets that developed have since been broadly accepted by a large number of adult surgical subspecialties, including bariatric surgery. This multidisciplina...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.sempedsurg.2020.150885

    authors: Derderian SC,Rove KO

    更新日期:2020-02-01 00:00:00

  • Late effects of treatment in children with cancer.

    abstract::For most children, cancer has become a curable disease. With this increased survival, the late effects of the diagnosis of cancer and its therapy have assumed increased importance for these children. Multiple late effects of essentially all organ systems have been described in selected groups of survivors. These may b...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Neglia JP

    更新日期:1993-02-01 00:00:00

  • Pediatric cardiac transplantation.

    abstract::Pediatric heart transplantation has undergone major changes over the past two decades, marked by a substantial improvement in survival, reduction in posttransplant complications, and enhancement in quality of life for transplant recipients. Actuarial survival has improved substantially in the last decade. Indications ...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2006.03.011

    authors: Alkhaldi A,Chin C,Bernstein D

    更新日期:2006-08-01 00:00:00

  • Recent innovations in the management of fecal incontinence.

    abstract::The importance of having a reproducible scoring system to objectively assess the severity of fecal incontinence and its response to treatment is stressed, and a number of methods are described. The approach to conservative treatment and investigation is outlined. Recent advances in the surgical management of fecal inc...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/spsu.2002.31806

    authors: Darakhshan AA,Williams NS

    更新日期:2002-05-01 00:00:00

  • Predicting outcomes in congenital diaphragmatic hernia.

    abstract::Identification of CDH infant populations at high risk for mortality postnatally may help to develop targeted care strategies, guide discussions surrounding palliation and contribute to standardizing reporting and benchmarking, so that care strategies at different centers can be compared. Clinical prediction rules are ...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2017.04.010

    authors: Daodu O,Brindle ME

    更新日期:2017-06-01 00:00:00