Edit concept Create issue ticket

Acquired Hypertrophic Pyloric Stenosis

Adult Hypertrophic Pyloric Stenosis


Presentation

  • Confirm each diagnosis by consulting a section, organized by symptoms, that presents the full range of differential diagnoses and treatment options for each specific condition.[books.google.de]
  • Clinical symptoms, food vomiting and loss of weight, were present for several weeks before the diagnosis of NHPS was made. The diagnosis was peptic stenosis in 3 cases and has not been established in 3 cases.[wwww.unboundmedicine.com]
  • PAUL GRAVEL - Quality Score 5 PAUL GRAVEL - Number of Services 1 JOYCELYN THEARD MD - Quality Score 5 JOYCELYN THEARD MD - Number of Services 1Patient Risk Rate0.25Patient Severity rate0.1undefinedundefinedLikelihood of an associated diagnosis being present[mdguna.com]
  • The typical infant presents with nonbilious projectile vomiting and ...[weightssimpson.tk]
  • A quick reference on Adult hypertrophic pyloric stenosis, covering the clinical presentation, investigative approach, and key principles of management. IHPS is extremely rare but it has been well recognized since.[age-reaction.ml]
Labored Breathing
  • Breathing and Hypoxemia Case 45 510 Chapter 65 Vomiting in an Infant Case 46 516 Chapter 66 3YearOld Female with a 12Hour Onset of Abdominal Pain Vomiting and Fever of 385C Case 47 523 Chapter 67 4YearOld Boy with a Groin Mass Case 48 529 Chapter 68[books.google.de]
Hypoxemia
  • 61 Solitary Pulmonary Nodule in a 58YearOld Male Case 42 483 Chapter 62 Persistent Jaundice in a 1MonthOld Infant Case 43 497 Chapter 63 Newborn Baby with a Large Abdominal Wall Defect Case 44 503 Chapter 64 Newborn Infant with Labored Breathing and Hypoxemia[books.google.de]
  • Hypoxemia (PO 2 4.[journals.plos.org]
Disability
  • MDGuidelines is the most trusted source of disability guidelines, disability durations, and return to work information on pyloric stenosis acquired adult hypertrophic. Background and Objectives.[age-reaction.ml]
  • Child Vaccine Preventable Diseases Br, Epidemiology and Surveillance Div, National Immunization Program; Birth Defects and Pediatric Genetics Br, Div of Birth Defects, Child Development, and Disability and Health (proposed), National Center for Environmental[cdc.gov]
Vomiting
  • Clinical symptoms, food vomiting and loss of weight, were present for several weeks before the diagnosis of NHPS was made. The diagnosis was peptic stenosis in 3 cases and has not been established in 3 cases.[wwww.unboundmedicine.com]
  • […] in an Infant Case 46 516 Chapter 66 3YearOld Female with a 12Hour Onset of Abdominal Pain Vomiting and Fever of 385C Case 47 523 Chapter 67 4YearOld Boy with a Groin Mass Case 48 529 Chapter 68 2YearOld Boy with Gastrointestinal Bleeding Case 49 537[books.google.de]
  • The typical infant presents with nonbilious projectile vomiting and ...[weightssimpson.tk]
  • You should see a doctor if you have any of the following: Blood when you have a bowel movement Severe abdominal pain Heartburn not relieved by antacids Unintended weight loss Ongoing vomiting or diarrhea NIH: National Institute of Diabetes and Digestive[icdlist.com]
  • […] pyloric stenosis: 89%Diaphragmatic hernia without mention of obstruction or gangrene: 20%Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled: 21%Dehydration: 26%Esophageal reflux: 43%Nausea with vomiting[mdguna.com]
Projectile Vomiting
  • The typical infant presents with nonbilious projectile vomiting and ...[weightssimpson.tk]
  • The patient experiences projectile vomiting of partially digested food after eating; the vomitus does not contain bile.[medindia.net]
  • But, it usually presents within the first 3-4 weeks of life and is noticed by the classic sign of projectile vomiting In case of any signs of poor feeding, projectile vomiting with feedings, or weight loss, it is important to seek medical advice, as quickly[dovemed.com]
  • Specialty General surgery Symptoms Projectile vomiting after feeding 00675 at CHORUS UCL Institute of Child Health Peristaltic waves video on NEJM[en.wikipedia.org]
  • The baby may vomit forcefully, ejecting breast milk or formula up to several feet away (projectile vomiting). Vomiting might be mild at first and gradually become more severe as the pylorus opening narrows. The vomit may sometimes contain blood.[mayoclinic.org]
Nausea
  • […] hypertrophic pyloric stenosis: 89%Diaphragmatic hernia without mention of obstruction or gangrene: 20%Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled: 21%Dehydration: 26%Esophageal reflux: 43%Nausea[mdguna.com]
  • In addition the patient also complains of frequent pain in the upper part of the abdomen, early satiety, nausea, loss of appetite and weight loss. At times, non-projectile vomiting and jaundice may occur.[medindia.net]
Severe Abdominal Pain
  • You should see a doctor if you have any of the following: Blood when you have a bowel movement Severe abdominal pain Heartburn not relieved by antacids Unintended weight loss Ongoing vomiting or diarrhea NIH: National Institute of Diabetes and Digestive[icdlist.com]
Gastropathy
  • Mathieson D T (1985) Surgical treatment of chronic hypertrophic pyloric gastropathy in 45 dogs. JAAHA 22 , 241-247. Pearson H et al (1974) Pyloric and esophageal dysfunction in the cat. JSAP 15 (8), 487-501.[vetstream.com]
Head Banging
  • New Features: New topics for this edition include: Amenorrhea, Asberger Syndrome, Dental Trauma, Head banging, Mental Retardation, Narcolepsy, Obsessive Compulsive Disorder, Separation Anxiety and Social Anxiety Free 30 Day Access to the 5minuteconsult[books.google.de]
Compulsive Disorder
  • New Features: New topics for this edition include: Amenorrhea, Asberger Syndrome, Dental Trauma, Head banging, Mental Retardation, Narcolepsy, Obsessive Compulsive Disorder, Separation Anxiety and Social Anxiety Free 30 Day Access to the 5minuteconsult[books.google.de]

Workup

  • Other features include a Chief Complaints section addressing the workup and treatment of 50 signs and symptoms, plus a medication index, syndromes glossary, surgical glossary, laboratory values, and tables all for quick reference saving you time and helping[books.google.de]
  • […] antrum After upper GI barium study, irrigating and removing any residual barium from the stomach is advisable to avoid aspiration Endoscopy Reserved for patients with atypical clinical signs when ultrasonography and UGI studies are nondiagnostic See Workup[emedicine.medscape.com]
Mediastinal Mass
  • Chapter 57 Gastric Bypass Case 39 451 Chapter 58 Coronary Revascularization Case 40 463 Coronary Bypass 470 Chapter 60 Mediastinal Mass in a 61YearOld Male Case 41 475 Chapter 61 Solitary Pulmonary Nodule in a 58YearOld Male Case 42 483 Chapter 62 Persistent[books.google.de]

Treatment

  • In all cases of proved pyloric stenosis, after failure of medical and endoscopic treatment, a simple surgical procedure (pyloroplasty) associated with medical treatment seems to be effective.[wwww.unboundmedicine.com]
  • Review the latest developments in the field and get up-to-date clinical information on hot topics like polyps, capsule endoscopy, and pancreatic treatments.[books.google.de]
  • Other features include a Chief Complaints section addressing the workup and treatment of 50 signs and symptoms, plus a medication index, syndromes glossary, surgical glossary, laboratory values, and tables all for quick reference saving you time and helping[books.google.de]
  • Walsh, along with a multi-disciplinary team of contributors guide you through the sweeping developments in diagnosis and treatment of the mother fetus, and neonate.[books.google.de]
  • Learn more from WebMD about hypertrophic cardiomyopathy, thickening of the heart muscle, including symptoms, diagnosis, and treatment. Compared with adults. Learn about Antibiotics in Neonates from the Professional.[age-reaction.ml]

Prognosis

  • Prognosis : good. Pathogenesis Etiology Congenital form: ?Excessive gastrin levels causing hypertrophy of circular muscle fibers. ? Neuromuscular dysfunction.[vetstream.com]
  • […] gastric emptying of fluid into duodenum Complications Hypochloremic metabolic alkalosis DDx Infantile pylorospasm Muscle thickness between 1.5 and 3 mm Variable caliber of antral narrowing Antral peristalsis Delayed gastric emptying Elongation of pylorus Prognosis[learningradiology.com]
  • Prognosis Surgery is often a complete cure. Most infants do not experience complications or long-term effects. Prevention It is not known how to prevent pyloric stenosis. Resources Books Behrman, Richard E., et al., Nelson Textbook of Pediatrics .[medical-dictionary.thefreedictionary.com]

Etiology

  • Clinical entity of unknown etiology. 29 Hypertrophic Pyloric Stenosis In Adults HYPERTROPHIC. Cases have been reported. Is a misleading anatomic and radio. 24 Idiopathic Hypertrophic Pyloric Stenosis In.[age-reaction.ml]
  • […] stomach and duodenum Approximate Synonyms Acquired hypertrophic pyloric stenosis Gastric outlet obstruction Obstruction, gastric outlet Pyloric obstruction Pyloric stenosis Stenosis, pyloric Clinical Information Narrowing of the pyloric canal with varied etiology[icd10data.com]
  • Nine children (age 3 mo to 17 years) presented with a history of late-onset primary GOO of unknown etiology[ 9 ].[wjgnet.com]
  • Although the precise etiology of pyloric stenosis remains unknown, there is some evidence that it may be an acquired condition, rather than a congenital disorder, as previously thought.[pedsinreview.aappublications.org]
  • Pathogenesis Etiology Congenital form: ?Excessive gastrin levels causing hypertrophy of circular muscle fibers. ? Neuromuscular dysfunction. Acquired: mucosal hypertrophy; extrinsic lesions (abscess, neoplasia) may mimic the condition.[vetstream.com]

Epidemiology

  • The epidemiology of infantile hypertrophic pyloric stenosis in a Danish population, 1950-84. Int J Epidemiol 1989;18:413-7. Schechter R, Torfs CP, Bateson TF. The epidemiology of infantile hypertrophic pyloric stenosis.[cdc.gov]
  • Schechter R, Torfs CP, Bateson TF (1997) The epidemiology of infantile hypertrophic pyloric stenosis. Paediatr Perinat Epidemiol 11: 407–427. View Article Google Scholar 8.[journals.plos.org]
  • Epidemiology. 2006;17(2):195-201. 4. Finkelstein MS, Mandell GA, Tarbell KV. Hypertrophic pyloric stenosis: volumetric measurement of nasogastric aspirate to determine the imaging modality. Radiology. 1990;177(3):759-61. 5. Oakley EA, Barnett PL.[rch.org.au]
Sex distribution
Age distribution

Pathophysiology

  • What is the pathophysiology of hypertrophic pyloric stenosis. Start studying Pediatric Gastrointestinal Conditions. Primary hypertrophic pyloric stenosis in adults. Posted in IBD Reporter Newsfeed. IDC idiopathic dilated. Pyloric stenosis in adults.[age-reaction.ml]
  • Water and Electrolytes in Pediatrics: Physiology, Pathophysiology and Treatment . 2nd ed. 1993 Philadelphia, Pa.: WB Saunders Evolution in the Recognition of Infantile Hypertrophic Pyloric Stenosis. Hulka F, Campbell T, Campbell R, Harrison W.[pedsinreview.aappublications.org]
  • Pathophysiology Failure of pyloric ring to relax vomiting of stomach contents.[vetstream.com]
  • Pathophysiology Frequent vomiting results in loss of H , Cl - , Na and K (electrolyte concentrations in gastric fluid are 130-150 mmol/L for Cl - , 60-100 mmol/L for Na , and 10-15 mmol/L for K ).[rch.org.au]

Prevention

  • Avoidable - 0% Emergent - ED Care Needed - Not Preventable/Avoidable - 0% Primary diagnosis of injury 0% Primary diagnosis of mental health problems 0% Primary diagnosis of substance abuse 0% Primary diagnosis of Alcohol 0% Unclassified 0% Also called[medicbind.com]
  • Last updated May 6, 2018 BruceBlaus Pyloric Stenosis is the thickening of the muscle layer of the pyloric region resulting in the narrowing of the pyloric sphincter, which prevents the food from leaving the stomach.[dovemed.com]
  • Prevention It is not known how to prevent pyloric stenosis. Resources Books Behrman, Richard E., et al., Nelson Textbook of Pediatrics . Philadelphia: WB Saunders, 2000. Periodicals Yoshizawa J, et al.[medical-dictionary.thefreedictionary.com]
  • The prevention of pertussis in infants is important; most hospitalizations for and deaths from pertussis occur in children aged less than 1 year (9).[cdc.gov]
  • Since pyloric stenosis prevents food from reaching the intestines, babies with this condition might be constipated. Weight problems. Pyloric stenosis can keep a baby from gaining weight, and sometimes can cause weight loss.[mayoclinic.org]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!