DISEASES OF CHILDHOOD : PILOROSPAZM. THE PYLORIC STENOSIS (PYLOROSPASMUS. PYLOROSTENOSIS) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
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. 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.
To distinguish from other forms of habitual vomiting and regurgitation. Typical data under fluoroscopy.
Prediction depending on the degree of obstruction of the pylorus and the degree of emaciation; clearly expressed cases careful.
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.