Top
30
Doctor insights on: Nursing Diagnosis For Pyloric Stenosis

Share
1

1
What lab values correspond with the diagnosis of pyloric stenosis?

What lab values correspond with the diagnosis of pyloric stenosis?

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

Pyloric Stenosis (Definition)

A condition in which the pyloric muscle thickens and closes off the outlet to the stomach. This causes vomiting which lead to dehydration. It happens usually between two to eight weeks of age. ...Read more


2

2
What are values that correspond with the diagnosis of pyloric stenosis?

What are values that correspond with the diagnosis of pyloric stenosis?

Several: Most values are usually of a chemical or electrolyte nature. Vomiting causes losses of chloride, potassium. Hypokalemic, hypochloremia are the classis values when a blood assay is done. ...Read more

3

3
What problems can result from a late diagnosis of pyloric stenosis in infants?

What problems can result from a late diagnosis of pyloric stenosis in infants?

Severe dehydration: If a baby has delayed diagnosis of pyloric stenosis the baby may have profound dehydration and metabolic alkalosis. Thankfully with directed rehydration over hours to days this can be corrected and then the baby can undergo surgery to repair the problem. ...Read more

4

4
Can pyloric stenosis return?

Can pyloric stenosis return?

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

5

5
What should I know about pyloric stenosis?

What should I know about pyloric stenosis?

Its easy to correct!: Pyloric stenosis occurs in infants between 2 weeks and 3 months of age. In this condition the muscle at the place where the stomach empties is thickened so that the food cannot pass. It is corrected with a small operation to cut the muscle. This surgery can be done laparoscopically or with a small incision above the navel. The infant can usually start eating within a few hours after surgery. ...Read more

6

6
What are the problems after pyloric stenosis?

What are the problems after pyloric stenosis?

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. ...Read more

7

7
What is the definition or description of: pyloric stenosis?

Stomach blockage: 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. Vomiting can be forceful. ...Read more

8

8
Can pyloric stenosis be fatal?

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

9

9
Could pyloric stenosis 'come back'?

Could pyloric stenosis 'come back'?

Ususally not: I have seen one case of recurrent hypertrophic pyloric stenosis in forty years. I do not know whether initial surgery was insufficient or exact reason for this occurrence. ...Read more

10

10
Why does pyloric stenosis rarely occur in premature infants?

Too early: Pyloric stenosis is poorly understood, requires a period of growth for the muscle to get thick enough and long enough to cause obstruction. It does occur in ex-premature infants who may present at an older age like 2-3 months depending upon how premature. ...Read more

11

11
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

12

12
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

13

13
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

14

14
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

16

16
Can pyloric stenosis cause infertility in later life?

NO: There is no direct relationship between pyloric stenosis and infertility for either a male or female patient. ...Read more

17

17
Infant recovery after pyloric stenosis surgery, what to do?

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

18

18
Pyloric stenosis reconstructive surgery, what is this like?

Pyloric stenosis reconstructive surgery, what is this like?

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

19

19
Are there any important lab tests that will help diagnose pyloric stenosis?

Are there any important lab tests that will help diagnose pyloric stenosis?

No: Although lab tests can help with the diagnosis, the actual diagnosis is made on history, physical exam and nowadays on ultrasound. Lab tests help determine how severely dehydrated the child is. ...Read more

20

20
Does infant pyloric stenosis always need surgery? Or can it go away on its own?

Pyloric stenosis: This is typically treated with a surgical procedure to open the channel for the food to pass into the small intestine. ...Read more

21

21
Can there be any enviromental/life style factors that play into pyloric stenosis?

Can there be any enviromental/life style factors that play into pyloric stenosis?

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

22

22
Is the a 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

23

23
Why is my pyloric stenosis scar red?

Why is my pyloric stenosis scar red?

Depends: Several factors may affect the color of a scar. Sun exposure especially if summertime and located in area likely to get sun such as abdomen. Irritation, medications are just a few. Usually it is transient and benign in nature. Is scar hypertrophic? ...Read more

24

24
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

25

25
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

26

26
Could people with pyloric stenosis have children?

Could people with pyloric stenosis have children?

Yes: Once repaired the rest of anatomy and life can be normal. ...Read more

27

27
What is the chance of a new child having pyloric stenosis?

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

28

28
Should I be worried if I had pyloric stenosis when I was little?

Should I be worried if I had pyloric stenosis when I was little?

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

29

29
Is it possible for pyloric stenosis to 'come back'?

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

30

30
Can you tell me pyloric stenosis long term effects?

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

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


Dr. Lawrence Kessler
1 Doctor shared a insight

Stenosis (Definition)

Constriction or narrowing of something - duct, artery, passage way such as the outlet of the stomach into the small ...Read more