3.4 Pyloric Stenosis Flashcards
1
Q
What has happened to cause pyloric stenosis?
A
hypertrophy of the pylorus
2
Q
Typical presentation of pyloric stenosis?
A
- “projectile vomiting”
- “olive shaped mass” in upper abdo
- peristalsis after feed may be visible
- typically presents in first few weeks of life as thin baby failing to thrive
3
Q
Blood gas in pyloric stenosis?
A
hypochloric metabolic acidosis
4
Q
What investigation do you do to make a pyloric stenosis diagnosis?
A
- Dx with abdo US of thickened pylorus
5
Q
How do you treat pyloric stenosis?
A
- RAMSTEDT’S operation: laparoscopic pyloromyotomy to widen. Excellent prognosis.
6
Q
What is the name of the operation for pyloric stenosis?
A
RAMSTEDT’S operation
