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PILOROSPAZM. THE PYLORIC STENOSIS (PYLOROSPASMUS. PYLOROSTENOSIS)

PILOROSPAZM. THE PYLORIC STENOSIS (PYLOROSPASMUS. PYLOROSTENOSIS)- QR

DISEASES OF CHILDHOOD : - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention

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What is the PILOROSPAZM. THE PYLORIC STENOSIS (PYLOROSPASMUS. PYLOROSTENOSIS) and how it is treated?

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Etiology and pathogenesis PILOROSPAZM. THE PYLORIC STENOSIS (PYLOROSPASMUS. PYLOROSTENOSIS)

Etiology and pathogenesis is not fully elucidated. The combination of congenital pyloric stenosis with subsequent working hypertrophy his currently most authors denied; apparently, spasm and stenosis combined with the very beginning.

Symptoms and course PILOROSPAZM. THE PYLORIC STENOSIS (PYLOROSPASMUS. PYLOROSTENOSIS)

Symptoms. Vomiting a fountain, visible peristalsis in the stomach; progressive weight loss, constipation, swelling, apparently sometimes in the pyloric area.

For. Is detected on the 2 - 3rd week of life, lasts 2 - 4 months.

Recognition PILOROSPAZM. THE PYLORIC STENOSIS (PYLOROSPASMUS. PYLOROSTENOSIS)

To distinguish from other forms of habitual vomiting and regurgitation. Typical data under fluoroscopy.

Predictions PILOROSPAZM. THE PYLORIC STENOSIS (PYLOROSPASMUS. PYLOROSTENOSIS)

Prediction depending on the degree of obstruction of the pylorus and the degree of emaciation; clearly expressed cases careful.

Treatment.

To feed more often, but small portions; previously possible to still concentrated mixtures (butter-flour mixture, concentrated protein). In some (light) cases help porridge by Epstein (before each meal 2 teaspoons 10% semolina). Try: atropine (under constant supervision, but not ambulatory), repeated gastric lavage. Nutritional treatment is always to combine with hemotherapy (10 - 20 ml in 2 - 3 days for 3 to 4 weeks). Vitamins (ascorbic acid (C), thiamin (B1)). If conservative treatment does not give effect and weight of the child persistently falls, surgery is indicated; not to hurry with the operation, but not to bring the child to the state of irreparable depletion.

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