Which is the treatment of choice for congenital hypertrophic pyloric stenosis?

Which is the treatment of choice for congenital hypertrophic pyloric stenosis?

Surgical Care Ramstedt pyloromyotomy remains the standard procedure of choice for hypertrophic pyloric stenosis because it is easily performed and is associated with minimal complications.

Why is Ringer lactate contraindicated in pyloric stenosis?

Lactated Ringer solution is contraindicated because it may exacerbate the metabolic alkalosis.

What is the proper treatment for pyloric stenosis?

Pyloric stenosis is always treated with surgery, which almost always cures the condition permanently. The operation, called a pyloromyotomy, divides the thickened outer muscle, while leaving the internal layers of the pylorus intact.

What is the drug of choice for pyloric stenosis?

The intravenous dose of atropine for treatment of pyloric stenosis ranges in studies from 0.04 to 0.225mg/kg/day and is given for 1 – 10 days. Oral atropine (0.08 – 0.45mg/kg/day) is continued, after IV therapy has been deemed successful, for 3 weeks to 4 months.

Can babies with pyloric stenosis still gain weight?

Babies with pyloric stenosis usually have fewer, smaller stools because little or no food is reaching the intestines. Constipation or stools that have mucus in them may also be symptoms. Failure to gain weight and lethargy. Most babies with pyloric stenosis will fail to gain weight or will lose weight.

Can pyloric stenosis be treated without surgery?

Nonsurgical treatment for infantile hypertrophic pyloric stenosis with atropine sulfate, either intravenous or oral, is an alternative in the rare case that general anesthesia or surgery is contraindicated.

Why is potassium low in pyloric stenosis?

Pyloric stenosis usually results in metabolic alkalosis with associated hypochloremia and hypokalemia due to a loss of hydrogen and chloride ions from vomiting gastric contents. However, if the dehydration is severe enough, paradoxical aciduria may occur.

Is pyloric stenosis painful in infants?

Despite vomiting, a baby with pyloric stenosis is usually hungry again soon after vomiting and will want to eat. It’s important to know that even with the vomiting, the baby might not seem to be in great pain or at first look very ill.

Which is the best treatment for Pyloric stenosis?

Fluid resuscitation Fluid and electrolyte replacement is paramount to the successful management of the infant with pyloric stenosis. Surgery must be delayed until hypovolaemia and electrolyte disturbances are corrected. If alkalosis is not corrected, it will prolong the risk for postoperative depression of respiratory drive.

Can a baby be operated on with pyloric stenosis?

Definition. Pyloric stenosis is a medical emergency, not a surgical emergency. The patient should not be operated on until there has been adequate fluid and electrolyte resuscitation. According to Barash, the infant should have normal skin turgor, and the correction of the electrolyte imbalance should produce a sodium level that is >130 mEq/L,…

How long is the surgery for Pyloric stenosis?

The surgeon cuts open the thickened pylorus muscle to create a wider passage for food to travel into the intestine. Sometimes, this can be done with tiny instruments through very small cuts in the baby’s belly. This is called laparoscopy. The surgery takes between 15 minutes and an hour. Your baby should be able to go home a day or two later.

What kind of Doctor do you see for Pyloric stenosis?

You may be referred to a doctor who specializes in treating digestive disorders (gastroenterologist) or to a pediatric surgeon. Write down your baby’s symptoms, including when and how often your baby vomits, whether the vomit is forcefully projected, and if the vomit appears to be most or just part what the baby has eaten.