What is congenital hypertrophic pyloric stenosis in children? How is it treated?

It is mechanical pyloric obstruction due to pyloric lumen narrowing caused by hypertrophy and hyperplasia of the pyloric ring muscle. It is one of the common diseases of newborns and infants, usually, this condition can be surgically **, mainly manifested as high obstruction of the digestive tract, epigastric vomiting can be seen gastric peristalsis waves, pyloric mass touch hypertrophy and other symptoms, according to the latest news I have learned, the main manifestations are high obstruction symptoms of the digestive tract, such as vomiting, gastric peristalsis waves can be seen in the upper abdomen and pyloric mass touch hypertrophy, vomiting is the first symptom of this disease.

Generally, infants with congenital hypertrophic pyloric stenosis are asymptomatic after birth and breastfeeding and defecation are normal. Vomiting occurs more than 2 to 3 weeks after birth, and in a few cases, vomiting immediately after birth and occasionally, until 7 to 8 weeks later, preterm infants tend to have a later onset. At first it is milk spilling after eating, occasionally vomiting, gradually increasing in frequency, and finally vomiting after each drink, vomiting usually occurs a few minutes after milk, ranging from general vomiting to squirting, and when it is severe, can be sprayed several feet away, usually from the mouth and nostrils.

Immature infants with pyloric stenosis vomit more atypically, with general vomiting and no ejection. Vomiting is milk and gastric juice or milk clots, which do not contain bile, and can be brown when vomiting is severe (3 5), and later, due to the gradual expansion and relaxation of the stomach, the milk stays in the stomach for a long time, and the number of vomiting seems to be reduced than before, and sometimes, the milk does not vomit once or twice after milk.

However, the amount that is spit out after the next milk is usually more than the amount that goes into the milk, and the milk curds that contain more sour taste are spit out together on both occasions. Despite vomiting a lot, I still have a strong appetite after vomiting, showing hunger, such as eating again, being able to suck as usual, and having less stool if vomiting is severe. Once a few days, the bowel movement becomes dry and hard, and the amount of urine decreases.

Finally, on the above children's congenital hypertrophic pyloric stenosis what is the disease, today I will analyze it here.

Congenital hypertrophic pyloric stenosis, generally seen in neonates, the clinical incidence is not too high, children with congenital hypertrophic pyloric stenosis generally have a series of symptoms such as nausea, vomiting, abdominal distension and so on. Generally, surgery is required, use contrast agent to do contrast or color ultrasound, to see the degree of pyloric hypertrophy, the degree of stenosis, choose the appropriate program, generally can consider minimally invasive surgery, the trauma is relatively small, the recovery is relatively fast, congenital hypertrophic pyloric stenosis is generally not effective.

It is a common congenital condition. The main manifestations are high obstruction of the digestive tract, epigastric vomiting can be seen in gastric peristalsis waves, pyloric mass touch hypertrophy and other symptoms. Surgery is usually required**.

The exit of the stomach is called the pylorus, and when the muscles in the pylorus thicken and harden, it narrows the pylorus and prevents it from eating.

After about 2 to 3 weeks after birth, he began to vomit milk, and the vomiting became more and more severe, until he vomited all the time he vomited.

When the muscles of the pylorus become like tumors, it is necessary to perform large early ashwagandha surgery, and mild rolling pyloric spasm can be treated with drugs**. Breastfeeding should be done with less frequency and to prevent vomiting as much as possible.

This question is very professional and it is recommended that you go to the doctor.

Pyloric canal obstruction due to excessive hypertrophy of the myometrium pylorus.

Pyloric hypertrophic stricture can cause almost complete gastric outlet obstruction. Pyloric hypertrophy is rare at birth but progresses rapidly in the first 4 to 6 weeks of life, when symptoms of upper gastrointestinal obstruction begin to appear. Bile projectile vomiting occurs 1 month after birth.

Left to right gastric peristaltic waves are seen in the upper abdomen. Delayed diagnosis can lead to recurrent vomiting, dehydration, weight loss, and metabolic hypochloremic alkalosis.

Diagnosis is based on a discrete, 2 3 cm, hard, active ovoid mass in the right upper quadrant that can be palpable, or hypertrophic pyloric muscle layer confirmed by abdominal ultrasound. If the diagnosis is unclear, barium swallow examination shows delayed gastric emptying, typical of linear stenosis and elongated pyloric canals.

During the operation**, the pyloric annular muscle is incised longitudinally, leaving the mucosa intact and separating the incised muscle fibers. After surgery, the child is usually able to feed normally after a few days.

1. There are many reasons for children to spit up and choke on milk, and there are many diseases caused by surgical conditions, and the more common one is "congenital pyloric stenosis".

2. To determine the diagnosis of congenital pyloric stenosis, abdominal ultrasound examination and barium swallow examination can be done.

3. Whether Yangzhou Women's and Children's Hospital has the operation of congenital pyloric stenosis, please ask your local pediatric surgeon.

4. Congenital pyloric stenosis surgery** is a very mature technique, and the postoperative recovery is generally very good, and there are no sequelae.

5. If it is determined that it is congenital pyloric stenosis, surgery is necessary**.

Infant vomiting has a variety of **, which should be distinguished from the following diseases, such as improper feeding, systemic Xiangtan bend or local **infection, pneumonia and congenital heart disease, central nervous system disease that increases intracranial pressure, progressive kidney disease, infectious gastroenteritis, various intestinal obstructions, endocrine diseases, and gastroesophageal reflux and hiatal hernia.

Early Diagnosis of Hypertrophic Pyloric Stenosis Hypertrophic pyloric stenosis is an after-stomach gastrointestinal abnormality that causes recurrent vomiting in infants, occurring in 3 per 1,000 live births, typically with ejection vomiting several hours after feeding, and the vomit is bile in a finger-to-finger tease. When quiet, feel a hard lump the size of an olive on your baby's upper abdomen. Infant irritability and crying, stunted growth and development, slow weight gain, and blood potassium and chloride levels may also be reduced.

In the past, in addition to clinical symptoms and physical examination, abdominal X-ray, blood test and barium swallow gastrointestinal photography were often time-consuming and the baby would be very uncomfortable. In recent years, abdominal ultrasound has been used to diagnose accurately and quickly with early surgery**.

In the May issue of the International Journal of Pediatrics, Dr. Bakker of the Department of Pediatric Surgery and Neonatology at the Faculty of Medicine of the University of Zerfelt in Turkey, reported on 56 cases of children treated between 1996 and 2015. According to the time of operation, the children were divided into two groups: 1996 and 2006 (30 cases in the first group) and 2007 and 2015 (26 cases in the second group), and the similarities and differences in clinical manifestations were compared.

The first group had more vomiting to diagnosis, the risk of dehydration, the chance of mass in the abdomen, the risk of blood alkalosis, and the probability of abnormal bowel gas on abdominal X-ray. This is because the development and advancement of abdominal ultrasound has enabled the second group of children to be correctly diagnosed in advance.