Five years' experience with pylric stenosis in Misan

Infantile hypertrophic pyloric stenosis is the commonest cause of gastric outlet obstruction and vomiting in infancy resulting from gradual hypertrophy of the smooth muscle of the pylorus. Reports have suggested that the incidence of pyloric stenosis is increasing. This is a prospective study aimed to defining the various aspects of IHPS cases.
A total no. of 39 patients presented to Alsader general teaching hospital during the period from January 2014 to the end of December 2018.  The diagnosis was based on history, clinical examination with U/S study and we rarely need barium meal for the diagnosis. Results revealed that the male: female ratio was 12 to 1) male formed 92.3% while female is 7.6% of cases.  The disease is more frequently in the first baby of the family (28 patients: 71.7%). Family history was positive in two cases (5.1%), associated anomalies are found in 2 cases which is about 5.1%. The mortality rate (0 %). In conclusion: The management start with the correction of the general state of patients then followed by operation (Ramstedts pyloromyotomy).  Correction of fluid and electrolytes status of the patients preoperatively is very important to prevent operative and postoperative complications. Early feeding results in the retain of symptoms of vomiting so delay in the postoperative feeding up to the next postoperative day decrease the incidence of vomiting and risk of suffocation with overall reduction in the incidence of morbidity and mortality.