PMID: 526031Nov 1, 1979Paper

Vomiting after pyloromyotomy for infantile hypertrophic pyloric stenosis

Archives of Disease in Childhood
L Spitz

Abstract

An analysis of the factors which may predispose towards postoperative vomiting after pyloromyotomy for hypertrophic pyloric stenosis was carried out in 72 infants at this hospital. 26 (36%) infants experienced moderate to severe postoperative vomiting of sufficient intensity to cause the postoperative feeding regimen to be modified or interrupted. Only two parameters were found to be of statistical significance. These were the state of the oesophageal mucous membrane on endoscopical examination and the presence of haematemesis in the preoperative period. No evidence for a gastric mucosal lesion could be found. An advanced oesophageal mucosal lesion was found in 30% of patients, and this was the source of the haemorrhage in all 11 in whom haematemesis was noted postoperatively. The stay in hospital was prolonged (8 days) in those infants with troublesome vomiting postoperatively compared with those with lesser problems (3 days).

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Citations

Feb 26, 2004·Annales Françaises D'anesthèsie Et De Rèanimation·O JacqmarcqP Carli
Apr 1, 1995·Journal of Laparoendoscopic Surgery·R J ScorpioJ M Hutson
Sep 1, 1988·Archives of Disease in Childhood·B ZeidanR J Brereton
Dec 29, 2015·Asian Journal of Endoscopic Surgery·Tadashi IwanakaToshihiko Watanabe
Apr 24, 2007·Journal of Pediatric Surgery·Marc-David LeclairYves Heloury
Feb 1, 1986·The Australian and New Zealand Journal of Surgery·A J Mackay, A Mackellar
Nov 1, 1979·The British Journal of Surgery·L Spitz, G Batcup
Feb 8, 2000·Clinical Pediatrics·S Khan, S R Orenstein
Oct 1, 1990·Clinical Pediatrics·M SharmaS B Taneja
Jun 1, 1988·The British Journal of Surgery·D KumarC M Hall
Aug 1, 1981·The British Journal of Surgery·J B Bristol, R A Bolton
Nov 1, 1982·The British Journal of Surgery·A Leahy, R J Fitzgerald
Mar 1, 1982·The British Journal of Surgery·R D Spicer
Aug 1, 1984·The British Journal of Surgery·L Spitz, A E MacKinnon
Sep 1, 1990·The British Journal of Surgery·R A WheelerJ D Atwell
Jan 1, 1986·Journal of the Royal Society of Medicine·P J McDonald
Jul 12, 2020·The Journal of Surgical Research·Anthony I SquillaroLorraine I Kelley-Quon

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