Pyloric stenosis at a tertiary hospital in Uganda

Background Worldwide, infantile hypertrophic pyloric stenosis has an incidence of 3 in 1000 livebirths, with an unknown etiology. Even when babies present with characteristic symptoms, it is often misdiagnosed leading to late referral for appropriate surgical care. The purpose of this study was to d...

Full description

Saved in:
Bibliographic Details
Published in:Annals of pediatric surgery 2020-09, Vol.16 (1), p.32-3, Article 32
Main Authors: Okello, Innocent, Naluyimbazi, Rovine, Massenga, Alicia, Ullrich, Sarah, Kakembo, Nasser, Kisa, Phyllis, Sekabira, John, Nimanya, Stella
Format: Article
Language:English
Subjects:
Data collection
Electrolytes
Females
Hospitals
Males
Medical referrals
Medicine
Medicine & Public Health
Original Research
Patients
Pediatrics
Premature babies
Surgery
Ultrasonic imaging
Vomiting
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Worldwide, infantile hypertrophic pyloric stenosis has an incidence of 3 in 1000 livebirths, with an unknown etiology. Even when babies present with characteristic symptoms, it is often misdiagnosed leading to late referral for appropriate surgical care. The purpose of this study was to document our experience in management of pyloric stenosis within our setting. Results A total of 33 patient records were reviewed. All the patients presented with non-bilious vomiting. The ratio of males to females was 4.5:1. Of these patients, 76% had electrolyte imbalance with low chloride count in the majority of patients. All the patients underwent an open Ramstedt pyloromyotomy, and 91% had a good outcome. Conclusion Management of IHPS has very good outcomes in our setting. Earlier referral of patients leads to improved outcomes.
ISSN:2090-5394
1687-4137
2090-5394
DOI:10.1186/s43159-020-00043-x