PMID: 2504909Aug 1, 1989Paper

The development of pyloric stenosis during transpyloric feedings

Journal of Pediatric Surgery
L A LatchawB H Harris

Abstract

Three infants, ages 3 to 4 months, had nasojejunal feeding tubes placed for recurrent aspiration and/or feeding intolerance after upper gastrointestinal cineradiographs (ugi) had documented gastroesophageal reflux (GER) with normal pyloric channels and prompt gastric emptying. The tubes had been in place for 3 and 4 weeks, respectively, in the first two infants when classic hypertrophic pyloric stenosis (HPS) was found during fundoplication and gastrostomy tube placement. The last child had a failed attempt at nasogastric tube feedings following 3 months of nasojejunal tube feedings. A repeat ugi suggested HPS, which was confirmed by pyloric ultrasound. This infant underwent pyloromyotomy alone. The late presentation of HPS in these infants suggests that transpyloric tubes might cause the development of HPS and exacerbate the symptoms of preexisting GER. In infants who are expected to eat by mouth, pyloromyotomy alone might allow the reinstitution of orogastric feedings without the perioperative morbidity of fundoplication and gastrostomy tube placement.

References

Apr 1, 1952·Archives of Disease in Childhood·J L HENDERSONW C TAYLOR

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Citations

Sep 18, 2009·Pediatric Surgery International·Christina Panteli
Jan 27, 1998·Journal of Pediatric Gastroenterology and Nutrition·E PanaderoL Sancho
Jun 10, 2004·Journal of Pediatric Gastroenterology and Nutrition·Ana Catarina FragosoJosé Estevão-Costa
Jan 30, 2007·The Pediatric Infectious Disease Journal·Wynne Morrison
Apr 18, 2014·Journal of Indian Association of Pediatric Surgeons·Anindya Chattopadhyay
Oct 21, 2016·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Toshiyuki TakahashiTakayuki Okamoto
May 1, 2004·Clinical Pediatrics·Maryam Y NaimGregory Schears
Nov 12, 2020·Pediatric Research·Jun Kobayashi

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