Doctor insights on:
Nursing Care Plan For Pyloric Stenosis
Not quite accurate: Hypertrophic pyloric stenosis (hps) occurs in girl babies, too, but it is 5 times more common in boys than girls. It is also 5 times more common in whites than blacks. So, the most common baby with hps is a white boy baby. No one really knows why. It probably has some genetic basis. ...Read more
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. ...Read more
Usually few, if any: Pyloric stenosis surgery very seldom has complications. Generic complications can occur, such as wound infection or minor scarring. The key problem to recognize and fix during the operation is perforation of the duodenal mucosa. One cuts thru the thickened pyloric muscle fibers to open up the outlet of the stomach, but if one cuts all the way into the lumen, it must be recognized and repaired. ...Read more
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
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
No: They are not related.Get a more detailed answer ›
Follow advice: Now that the scariest part is over, it is important that you follow your post-op instructions to the letter (these should have been provided to you upon discharge, if not, contact your surgeons office for a copy), keep your follow up appointment, and watch for symptoms of stenosis recurrence (this is uncommon, but CAN happen). ...Read more
Open stenosis: If there is stenosis and a bypass of small bowel to stomach not employed then a pyloroplasty performed. A vertical incision just above pylous extending to upper duodenum and about 5cm is created thru mucosa into muscular layer. It is then closed in a transverse direction where the top of the incision is brought midline to the lower incision opening the stenosis. ...Read more
Electrolyte changes: In a baby with hypertrophic pyloric stenosis, the lab abnormalities are a result of vomiting up hydrochloric acid and malnutrition. The chloride level goes down, the bicarbonate (sodium bicarbonate) level goes up, and the potassium level can go down. If the diagnosis is made quickly, the labs may not be abnormal. If the baby has been vomiting a long time, the electolyte derangements can be severe. ...Read more
Sometimes: Causes are unknown, but some genetic and environmental factors probably. Higher rates among certain families and offspring of mothers who with pyloric stenosis. Pyloric stenosis occurs more often in males than in females. Early antibiotic use in infants and during pregnancy of mothers may play role.3 out of 1,000 babies in US.4 x more in 1st born males.If in parent then infant 20% chance ...Read more
Is the connection between pyloric stenosis in 1 sibling and mentriers disease in another? I was born with pyloric stenosis and my sister now has menetrieres disease. Is there a gastric problem in our family?
I : I couldn't find any studies that tied the two together except that they can both present with obstruction and should be differentiated for proper treatment. No one really knows why a child will get pyloric stenosis, but it is thought to have some genetic component since it can run in families. Menetrier's disease can be broken down into 2 types: childhood and adult. Both types tend to happen after the person has been infected with a specific virus called cytomegalovirus (CMV) or bacteria call h. Pylori. The childhood type has a good prognosis and usually clears up on its own. The adlut type requires treatment. Kids are not born with this disease and it does not get passed from parent to child which makes it unlikely that your pyloric stenosis is related to her menetrier's. ...Read more
Bowel obstruction : Then vomiting, dehydration and loss of electrolytes. Gastric contents lost as vomit include acids, leading to a metabolic alkalosis (a 'contraction' alkalosis) with hypokalemia (low potassium), the baby needs to be admitted to a hospital, have intravenous fluids, a surgical consult and surgical repair of the pylorus to relieve the stenosis. It can be performed open or laprascopic. ...Read more
So baby is safe: Most babies begin vomiting an 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
Surgery is the cure: Your child needs to have the pyloric muscle cut which is done in a very short and nearly scarless operation done by a qualified surgeron. Any children's surgeon can explain the procedure and care for this common problem but the most important thing is to make sure that enough fluids and salts are being administered. ...Read more
Gender/Race involved: Hypertrophic pyloric stenosis (hps) is more common in boy babies & white babies. There is a 1 in 300 chance of a white baby boy developing hps. It is 5 times more common in boys than girls & 5 times more common in whites than blacks. Therefore, it is most commonly seen in white baby boys & least commonly seen in black baby girls. ...Read more
Probably not: Hypertrophic pyloric stenosis (HPS) affects babies in the first few weeks of life. After surgical correction with pyloromyotomy, babies are basically normal. They can feed fine, and the stomach empties fine. It would be very unusual for a middle-aged adult to have problems referable to having had HPS as a baby. ...Read more
Very rare: Pyloric stenosis can be corrected in most cases, condition is serious. Infants who are not diagnosed quickly are at increased risk for developing further stomach irritation, dehydration, and electrolyte loss. They may experience shock (extremely low blood pressure), malnutrition, and stunted growth. Death from pyloric stenosis is rare, but can occur if symptoms continue for too long. ...Read more
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 & allow the stomach to empty. If done well & 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. ...Read more
Usually fine: Usually once diagnosis is made and patient has surgery, pyloromyotomy the outcome is very good with resumption of normal feedings. Rarely does this condition recur. Deformity of narrow pylorus remains but surgery widens enough for liquids and chewed foods to pass.if child swallows foreign body such as coin or marble, prolonged retention in stomach occurs because exit from stomach not large enough. ...Read more
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