Pyloric stenosis: an enigma more than a century after the first successful treatment.

Abstract:

:Despite hypertrophic pyloric stenosis (HPS) being one of the most frequently treated pediatric surgical conditions, its etiology remains incompletely understood. We review the diagnosis and treatment of this condition with an emphasis on the evolution of surgical techniques that led to laparoscopic pyloromyotomy, the most frequently performed technique for HPS today. In addition, we review key developments in the understanding of HPS etiology and treatment, including the postulated etiology of work-induced hypertrophy of the pylorus, its association with prokinetic macrolide antibiotics, and the emerging role of atropine sulfate as a medical treatment for HPS or a rescue treatment for incomplete myotomy.

journal_name

Pediatr Surg Int

authors

El-Gohary Y,Abdelhafeez A,Paton E,Gosain A,Murphy AJ

doi

10.1007/s00383-017-4196-y

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

21-27

issue

1

eissn

0179-0358

issn

1437-9813

pii

10.1007/s00383-017-4196-y

journal_volume

34

pub_type

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