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Revista de la Universidad Industrial de Santander. Salud
versão impressa ISSN 0121-0807versão On-line ISSN 2145-8464
Resumo
VARGAS RODRIGUEZ, Ledmar Jovanny et al. Hypertrophic pyloric stenosis in the Colombian Orinoquia (2010-2020). Rev. Univ. Ind. Santander. Salud [online]. 2023, vol.55, e8. Epub 21-Nov-2023. ISSN 0121-0807. https://doi.org/10.18273/saluduis.55.e:23059.
Introduction:
Hypertrophic pyloric stenosis (HPS) is a condition that is characterized by the obstruction of physiological gastric emptying and is considered a surgically-resolved pathology.
Objective:
To characterize patients with congenital hypertrophy of the pylorus treated at the Regional Hospital of Orinoquía between 2010 and 2020.
Methods:
Observational, descriptive and retrospective study of patients who were admitted at the Orinoquía Regional Hospital between January of 2010 and December of 2020. The patients that were included had a diagnosis of hypertrophic pyloric stenosis identified by the ICD-10 codes.
Results:
A total of patients were included by selection criteria. The average age of participants was 24.3 days old. Most of them were males and 2 patients were overweight at birth. The most common symptom was postprandial emesis in 100%. The diagnosis was made through measurements of pylorus measured with abdominal ultrasound. All the patients performed pyloromyotomy, and only one required a surgical reintervention, however, the mortality was 0.
Conclusions:
Congenital hypertrophy of pylorus is an uncommon pathology, whose cardinal symptom is postprandial emesis. The ideal diagnostic method is an ultrasound study. Despite its complexity, this pathology has a good short and long-term prognosis.
Palavras-chave : Pylorus; Pyloric stenosis; Hypertrophic; Ultrasonography; Infant; Vomiting.