Congenital hypertrophic pyloric stenosis - abstract
West Indian med. j
; West Indian med. j;29(4): 284, Dec. 1980.
Article
em En
| MedCarib
| ID: med-6738
Biblioteca responsável:
JM3.1
Localização: JM3.1; R18.W4
ABSTRACT
This well-known disease entity is said to be less common among blacks, and in underdeveloped countries. Of the 105 patients with pyloric stenosis seen at the University Hospital of the West Indies 1953-1967, 16 were infants. However, the paediatric surgical ward at the UHWI only opened in 1962, and the Children's Hospital (now BHC) in 1963; and this figure may not have adequately reflected the frequency of the disease. With this in mind, a retrospective review of patients seen with congenital hypertrophic pyloric stenosis (CHPS) at the Bustamante Hospital for Children over the 5-year period 1975-1979 was undertaken. There were fifty (50) cases; an average of 10 per year. There were 43 males and 7 females, a ratio of 61. Their ages ranged between 8 days and 3 months. Of 29 patients in whom the family rank was shown, only 7 were first born; 6 of whom were males. One mother had pyloric stenosis as an infant. Forty nine of the 50 patients presented with vomiting, while one presented with apnoeic spells at age 8 days. In two patients the method of presentation is not known. The "pyloric olive" was felt in 31 of the 50 patients. Two others had their diagnoses confirmed by straight abdominal X-Rays, while 14 needed Barium meal studies. In one infant, projectile vomiting and visible perisalsis were used as the indications for operation, and in the remaining two patients the confirming signs are unknown. This disease appears to be less common among Jamaican patients than those in developed countries. Nonetheless, the average age, and clinical presentation of these patients is essentially the same as in developed countries. The smaller number of first-born infants seen in this series may reflect the fact that rarely was the infant first-born to both parents (AU)
Buscar no Google
Coleções:
01-internacional
Base de dados:
MedCarib
Assunto principal:
Estenose Pilórica
Limite:
Female
/
Humans
/
Male
/
Newborn
País/Região como assunto:
Caribe ingles
/
Jamaica
Idioma:
En
Revista:
West Indian med. j
Ano de publicação:
1980
Tipo de documento:
Article
/
Congress and conference