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Pylorospasm


Presentation

  • Abstract Pylorospasm can present with sonographic findings similar to hypertrophic pyloric stenosis. We present a rare case of methicillin-resistant Staphylococcus aureus subhepatic abscess causing pylorospasm in a neonate.[ncbi.nlm.nih.gov]
  • Hypertrophic pyloric stenosis (HPS) HPS is congenital disease, where newborns present with projectile vomiting.[explainmedicine.com]
  • Also unlike pyloric stenosis, a metabolic alkalosis is never present in this syndrome. There is an association between this condition and cerebral birth injury in association with hyperkinetic and deprived infants.[gpnotebook.co.uk]
  • […] sudden, involuntary, spasmodic contraction of a muscle or group of muscles, esp. of the extremities, sometimes with severe pain. b. a piercing pain in the abdomen. c. an intermittent, painful contraction… … Universalium We are using cookies for the best presentation[medicine.academic.ru]
  • Evidence for a sphincteric cylinder is presented.[books.google.com]
Gastric Lavage
  • 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)).[lecheniebolezni.com]
Vomiting
  • The efficacy of formulation was assessed by comparing symptoms like dyspepsia, abdominal pain, abdominal fullness, poor appetite, nausea, vomiting, and irregular motion.[ncbi.nlm.nih.gov]
  • Hypertrophic pyloric stenosis (HPS) HPS is congenital disease, where newborns present with projectile vomiting.[explainmedicine.com]
  • However, due to the violation of muscle tone, the baby may have frequent vomiting. This pathological condition is called pylorospasm.[rowland98.com]
  • Eating is accompanied by vomiting, which brings short-term relief (while vomit can be stagnant with an unpleasant odor). It can be "vomiting a fountain", usually with a hypersecretion of hydrochloric acid in the stomach.[en.med-directory.com]
  • It interferes with hit emetic separated in passes of tracheas if there is a vomiting or vomiting. After vomiting of the child it is worth feeding a little more.[en.medicalmed.de]
Nausea
  • The efficacy of formulation was assessed by comparing symptoms like dyspepsia, abdominal pain, abdominal fullness, poor appetite, nausea, vomiting, and irregular motion.[ncbi.nlm.nih.gov]
  • The symptom of nausea was used as a basis for nasogastric tube removal and diet resumption. A gastric emptying test (GET) with solid food was obtained. Patients with difficulty swallowing were fed via a feeding tube. RESULTS: There were 47 patients.[ncbi.nlm.nih.gov]
  • If not, then whether the abdominal pains were disturbed, whether there is a nausea, vomiting. It is also worth asking whether surgery was performed on the abdominal cavity (suspicion of an adhesion process).[en.med-directory.com]
  • Spasm and abdominal pain, neurosis, nausea and vomiting – these symptoms are peculiar to patients suffering from diseases of the gastrointestinal tract, as well as pregnant women.[greenpharmaceuticals.eu]
Persistent Vomiting
  • Treatment Persistent vomiting suggests an incomplete pyloromyotomy, gastritis, GERD. Surgical treatment is curative with a low mortality rate[slideshare.net]
  • Due to the loss of hydrochloric acid in the gastric contents from persistent vomiting, patients are at risk of electrolyte imbalance, specifically the characteristic hypochloremic metabolic alkalosis.[radiopaedia.org]
  • Data were excluded from two patients because the catheter migrated during portions of the preinjection period and because of persistent vomiting in one patient.[care.diabetesjournals.org]
Early Satiety
  • 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]
  • A reduction in early satiety, epigastric pain, nausea, and vomiting in these patients may all have contributed to an increased ability to eat.[care.diabetesjournals.org]
Loss of Appetite
  • 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]
Ectopia Lentis
  • Seite 896 - Genetic linkage of the Marfan syndrome, ectopia lentis, and congenital contractural arachnodactyly to the fibrillin genes on chromosomes 15 and 5. N Engl J Med 1992;326:905-909. ‎[books.google.de]
Neglect
  • In rare, neglected cases of pylorospasm in children (especially depleted), it can be manifested by the so-called "hourglass" symptom: the visible peristalsis of the stomach, usually one or two hours after a meal.[en.med-directory.com]

Treatment

  • The treatment is carried out under the supervision of medical personnel in the hospital. In special cases, physiotherapy or paraffin therapy is prescribed.[familias21online.com]
  • Significant updates on bariatric surgery, Barrett's esophagus, endoscopic ultrasound, endosonography, treatment of liver disease, and much more keep you current on the latest advances.[books.google.com]
  • 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)).[lecheniebolezni.com]
  • In comparison, 73.7, 40, 33.3, 40, 20, and 0% recoveries were observed in patients given control treatment only.[ncbi.nlm.nih.gov]
  • Treatment of pilorospasm consists in observing the diet and taking a number of medications.[en.triandgo.com]

Prognosis

  • Pylorospasm prognosis is generally good, but depends on the causes of the disease.[en.med-directory.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]
  • Described sonographic signs include: antral nipple sign cervix sign target sign Treatment and prognosis Initial medical management is essential with rehydration and correction of electrolyte imbalances.[radiopaedia.org]

Etiology

  • Etiology and pathogenesis PILOROSPAZM. THE PYLORIC STENOSIS (PYLOROSPASMUS. PYLOROSTENOSIS) Etiology and pathogenesis is not fully elucidated.[lecheniebolezni.com]
  • It can further be supported by the proof of the presence of etiological factors for the spasm, by the effect of certain therapeutic measures, by the positive occurrence of such conditions in older children and adults, and filially by negative findings[gluedideas.com]
  • Labe Facts: Pyloric Stenosis Most common surgical etiology for young infant presenting emergently with nonbillous vomiting Incidence: 2 to 5 of every 1,000 infants Multifactorial etiology: genetic, biochemical and environmental association Hypertrophy[radiologyinthai.blogspot.com]
  • ON ETIOLOGY (bile microflora): Enterococcal, streptococcal, staphylococcal, salmoneline, viral, dysentery, paratyphoid and[en.medicine-guidebook.com]
  • Regardless of the etiology of these diseases, patients and pregnant women are prescribed drugs with antiemetic, antispasmodic, sedative and antacid actions.[greenpharmaceuticals.eu]

Epidemiology

  • However, given the epidemiological correlation of viral infections with intussusception incidence, the theory is that activated Peyer's patches in the terminal ileum function as lead points.[appliedradiology.com]
Sex distribution
Age distribution

Pathophysiology

  • The efficacy of botulinum toxin provides insight into one of the underlying pathophysiological disorders of diabetic gastroparesis—pylorospasm.[care.diabetesjournals.org]

Prevention

  • CONCLUSIONS: The addition of pyloromyotomy to pylorus-preserving pancreaticoduodenectomy is effective in preventing DGE.[ncbi.nlm.nih.gov]
  • It functions to prevent reflux retrograde from small bowel up into stomach. The sphincter is controlled by vagus nerve so that any proceure where nerve is compromised causes persistent spasm and failure to empty stomach.[healthtap.com]
  • In the future, the mother simply needs to monitor the child's condition to prevent the occurrence of pylorospasm again. Prevention Prevention of pilorospasm consists in combating the factors that provoke the onset of the disease.[familias21online.com]
  • Prevention The only prevention of pilorospasm in children is a healthy mother's pregnancy. It is important to constantly observe the doctor and monitor the physiological condition of the fetus.[en.triandgo.com]
  • Very often pregnancy can be complicated by various ailments that prevent a woman from fully enjoying this wonderful time. The most common are toxicosis, headaches, weakness, heartburn and most importantly hypertension of the uterus.[greenpharmaceuticals.eu]

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