Complications of pyloromyotomy for infantile hypertrophic pyloric stenosis

American Journal of Surgery
F HulkaJ R Campbell

Abstract

Few references exist regarding contemporary complications of pyloromyotomy (PM) for infantile hypertrophic pyloric stenosis (IHPS). Therefore, we reviewed the frequency and outcome of patients with IHPS who developed complications from PM. A 25-year retrospective review was performed in two populations. The first group included all infants who had a PM for IHPS at two pediatric surgery centers. The second group included all infants referred from other institutions who developed complications following PM for IHPS. Between 1969 and 1994, 901 PMs were performed. Intraoperative complications occurred in 40 patients (4%), including 39 duodenal perforations and 1 difficult intubation requiring prolonged ventilation. No unrecognized duodenal perforations or incomplete PMs were found. Postoperative complications developed in 52 patients (6%). The wound infection rate was less than 1%. Postoperative vomiting occurred in 31 infants (3%). The mortality rate was 0.1%, with 1 death due to sepsis from delayed diagnosis of Hirschsprung's disease. During the same study period, 11 patients were referred from other hospitals for postoperative complications. Five had persistent vomiting treated successfully with expectant management. Six infants...Continue Reading

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Citations

Mar 17, 2007·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Roderick D AldridgeR Benjamin Aldridge
Jul 2, 2005·Journal of Pediatric Gastroenterology and Nutrition·Jason M ElinoffDarrel J Waggoner
Jun 29, 2002·Archives of Disease in Childhood·H KawaharaA Kubota
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Jan 11, 2007·Seminars in Pediatric Surgery·Gudrun Aspelund, Jacob C Langer
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Sep 15, 2019·Pediatrics International : Official Journal of the Japan Pediatric Society·Sachie OnoElena Terui
Feb 10, 2021·Annals of the Royal College of Surgeons of England·G S ArulI Jester

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