Question 1

what is pyloric stenosis?

Accepted Answer

Stomach exit blockag: In a baby with hypertrophic pyloric stenosis (HPS), the circular pyloric muscle fibers which regulate the emptying of the stomach become swollen (&quot;muscle-bound&quot;) usually between 2 and 8 weeks&#x27; age. The pyloric channel becomes blocked, and fluid cannot exit the stomach. The baby has progressive projectile nonbilious vomiting which can cause dehydration and weight loss if uncorrected.

Question 2

can pyloric stenosis return?

Accepted Answer

Usually not: Hypertrophic pyloric stenosis (HPS) in a young baby is treated with an operation called a pyloromyotomy. The hypertrophic circular pyloric muscle fibers are split to open the pylorus &amp; allow the stomach to empty. If done well &amp; thoroughly, HPS should not return. One occasionally hears of a case of recurrent HPS, but often, when looked at closely, it was an inadequate pyloromyotomy to begin with.

Question 3

what is the cause of pyloric stenosis?

Accepted Answer

Unknown: We have known how to diagnose and teat pyloric stenosis since 1904, but we still do not know the cause or how to prevent it.

Question 4

what are the tests for pyloric stenosis?

Accepted Answer

See below: Often, the history strongly points to this diagnosis. An abdominal us should reveal the abnormal area.

Question 5

what should i know about pyloric stenosis?

Accepted Answer

Curable: It is the most common cause of surgical vomiting in infants 2-8 weeks of age. It can cause severe dehydration and electrolyte disturbance if not treated. Surgery is simple can be done open or laparoscopically. Requires general anesthesia. Feeds are started 3-4 hours after surgery with baby going home within 24 hours.

Question 6

what are the problems after pyloric stenosis?

Accepted Answer

Usually none: The only problem encountered is swallowing foreign body such as marble or coin. When have surgery for pyloric stensis the relative narrowing of pyloric channel persists for years. Liquids have no problem passing from stomach into duodenum. Large hard objects can hang up in stomach indefinitely.

Question 7

why do only male children get pyloric stenosis?

Accepted Answer

Not true: Male infants have a 5/1 frequency compared to females but it does occur in both. The reason is unclear.

Question 8

can you tell me anything about pyloric stenosis?

Accepted Answer

Somethings: Approximately 95% of infantile hypertrophic pyloric stenosis cases are diagnosed in those aged 3-12 weeks. It is more common in first-born white males. It also has predominance in children of affected parents (as many as 7%).More males than females.Marked hypertrophy and hyperplasia of the 2 muscular layers of the pylorus occurs, leading to narrowing of the gastric antrum and elongation of pylorus.

Question 9

could people with pyloric stenosis have children?

Accepted Answer

Most do: This is a common and minor problem in early infancy. Patients of either sex grow up to lead regular lives with the same fertility prospects as anyone else.

Question 10

how do i take care of a child with pyloric stenosis?

Accepted Answer

Surgery: An infant with pyloric stenosis needs surgery to reopen the pylorus. After surgery infant should be burped well after about each 1/2 ounce of formula. Until their total volume is consumed. Some vomiting is common the first week after surgery especially if overfed.

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