Pyloric stenosis

Question 1

What is the pyloric sphincter

Answer 1

Ring of smooth muscle forming canal between stomach and duodenum

Question 2

What happens in pyloric stenosis

Answer 2

Powerful peristalsis in stomach as tries to push food into duodenum
Ejects food into oesophagus -> projectile vomitting

Question 3

When does pyloric stenosis present

Answer 3

First few weeks of life

Question 4

Pyloric stenosis presentation

Answer 4

Hungry baby, thin, pale and FTT
Projectile vomitting
Peristalasis observed in abdomen after feeding

Question 5

What can be seen in the abdomen in pyloric stensosi

Answer 5

Large olive 0 firm round mass upper - hypertrophic
peristalasis

Question 6

Blood gas in pyloric stensosi

Answer 6

Hypocholoric - low chloride - metabolic alkalosis
HCL leaving from stomach

Question 7

Diagnosis of pyloric stenosis

Answer 7

Abdo US - visualise thickened pylorus

Question 8

Treatment for pyloric stenosis

Answer 8

Laparoscopic pyloromyotomy - ramsteads operation

Question 9

Video

Answer 9

https://www.youtube.com/watch?v=gyf_9pmPydY&t=182s

Question 10

Video of intussception

Answer 10

https://www.youtube.com/watch?v=waFrk7jQtJA

Question 10

Video of intussception

Answer 10

https://www.youtube.com/watch?v=waFrk7jQtJA