PMID: 8943117Nov 1, 1996Paper

Who should treat pyloric stenosis: the general or specialist pediatric surgeon?

Journal of Pediatric Surgery
A J Brain, D S Roberts

Abstract

Recent reports suggest that children under 3 years of age are best operated on by a specialist pediatric surgeon. In the United Kingdom, hypertrophic pyloric stenosis traditionally has been treated by adult general surgeons. Should this change? In 1991, a retrospective review of 10 years' experience with pyloric stenosis, managed by general surgeons in a large district general hospital, was published. In 1969, an accredited pediatric surgeon, who largely took over the management of pyloric stenosis, was appointed to the staff. His results with 70 children over a 5-year period (series 2) were reviewed retrospectively and compared with the previously published general surgical series of 170 children (series 1). There was no significant difference in the gender, age, or weight distribution between the two series. There was a marked difference in the rates of wound infection (15.5% in series 1; 2.8% in series 2; P < .05), wound dehiscence (6.7% in series 1; 0% in series 2; P < .05), and breach of the duodenal mucosa (12.8% in series 1; 0% in series 2; P < .01). The lower morbidity rate resulted in a shorter hospital stay, with emotional and financial savings. This supports the recommendation that children with this condition should...Continue Reading

References

Mar 1, 1992·Archives of Disease in Childhood·J D Atwell, P M Spargo
Jan 1, 1991·Archives of Disease in Childhood·C A Eriksen, C J Anders

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Citations

Sep 28, 2000·Irish Journal of Medical Science·P D KielyP A Grace
May 14, 2005·Current Opinion in Pediatrics·Brent W Snow
Mar 3, 2006·Journal of Paediatrics and Child Health·Chirsty Allan
Oct 15, 1998·Archives of Disease in Childhood·G S Arul, R D Spicer
Jun 29, 2002·Archives of Disease in Childhood·H KawaharaA Kubota
Mar 15, 2014·Pediatric Surgery International·Sigmund H EinArlene Ein
Sep 26, 2013·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Christine NguyenCatherine M Curtin
Jan 18, 2011·Journal of Pediatric Surgery·Joshua M HamiltonJohn J Ferrara
Jan 9, 2007·Journal of Pediatric Surgery·Stig SommeJacob C Langer
May 25, 2013·Pediatrics International : Official Journal of the Japan Pediatric Society·Yuhki KoikeYoshihide Tsukamoto
Jun 28, 2015·Surgery·Luke R PutnamMary T Austin
Dec 26, 2006·Journal of the American College of Surgeons·Sherif G S Emil, Michael B Taylor
Dec 2, 2008·Surgery·Charles T TuggleJulie Ann Sosa
Jan 16, 2010·Revista do Colégio Brasileiro de Cirurgiões·Lisieux Eyer de JesusAntônio Carlos M Amarante
Nov 3, 2004·Pediatrics·Ann R Stark, UNKNOWN American Academy of Pediatrics Committee on Fetus and Newborn

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