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Doctor insights on: Congenital Hypertrophic Pyloric Stenosis

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What is the difference between pyloric stenosis and hypertrophic pyloric stenosis?

What is the difference between pyloric stenosis and hypertrophic pyloric stenosis?

Same entity: Some use the optional discriptor "hypertrophic" as an add on to pyloric stenosis. Ps is by caused by an overgrowth and tightening of the muscles surrounding the pyloric region of the small intestine. As such the "hypertrophic" is a redundant term. Some do a similar thing by saying yellow jaundicde when jaundice would be sufficient. ...Read more

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Hypertrophy (Definition)

Hypertrophy is an increase in size of an organ or tissue, or a particular part of the body. Examples include muscle hypertrophy due to lifting weights, ventricular hypertrophy (enlargement of a ventricle of the heart) due to high blood pressure or other heart disorders, or prostatic hypertrophy (enlargement of ...Read more


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Why would patients need prompt assessment for congenital pyloric stenosis?

Why would patients need prompt assessment for congenital pyloric stenosis?

So baby is safe: Most babies begin vomiting an the doc changes formulas a few times as the vomiting can be reflux. However, if it continues the repeated vomiting will lead to abnormalities in the babies chemical balance in the blood and can lead to dehydration and shock. So, early diagnosis leads to early treatment and requires less rehydration before surgery. ...Read more

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What is the cause of pyloric stenosis?

What is the cause of pyloric stenosis?

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. ...Read more

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What are the tests for pyloric stenosis?

Ultrasound: Most common test for pyloric stenosis today is ultrasound that shows thickened elongated pyloric muscle. Standard measurements of muscle thickness are well known. A upper gastrointestinal barium study performed in fluoroscopy predated ultrasound and also was quite accurate but involves ionizing radiation. ...Read more

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What are the symptoms of pyloric stenosis?

What are the symptoms of pyloric stenosis?

Projectile vomit: 1-2 month old who starts to vomit after meals. It progresses. Vomit after eating gets worse and more forceful. Sometimes more common in first born males. Ultrasound is diagnostic. Surgery only after the fluid balance is restored. Hope this helps. Laparoscopic surgery is common for this operation. ...Read more

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What are pyloric stenosis treatments?

Surgery: Pyloric stenosis is treated with an operation to cut the thick muscle that is causing the blockage. ...Read more

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What are treatments for pyloric stenosis?

What are treatments for pyloric stenosis?

Hydration + surgery: If you are talking about a young infant with hypertrophic pyloric stenosis, the first part of treatment is IV hydration to correct any dehydration present. Once the baby is well-hydrated, he/she undergoes operation, a pyloromyotomy, in which the hypertrophic pyloric muscle fibers are cut so that the stomach can empty properly. The operation can be done openly or laparoscopically. ...Read more

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What causes a newborn to get pyloric stenosis?

Not always known: Pyloric stenosis can have either an environmental or a genetic cause, and when occurring together these two will raise the likelihood of occurring.Pyloric stenosis is four times more common in males. Some families have aggregate of cases in certain familiies. It's about four times more likely to occur in firstborn male infants ...Read more

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How long will the scar for pyloric stenosis last?

How long will the scar for pyloric stenosis last?

Forever: Like any scar from surgery, this scar is permanent. In some patients, this scar will elongate with advancing age, but not in everyone. ...Read more

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Pyloric Stenosis (Definition)

Pyloric stenosis is when the pyloric muscle thickens and closes off the outlet to the stomach. This causes vomiting which lead to dehydration. Happens usually between 2-8 weeks of age. ...Read more


Stricture (Definition)

A stricture is an anatomic narrowing of any structure in the body with a lumen. Depending on the organ, the underlying causes can be traumatic, ...Read more