Cookies on this website

We use cookies to ensure that we give you the best experience on our website. If you click 'Accept all cookies' we'll assume that you are happy to receive all cookies and you won't see this message again. If you click 'Reject all non-essential cookies' only necessary cookies providing core functionality such as security, network management, and accessibility will be enabled. Click 'Find out more' for information on how to change your cookie settings.

© 2019 Infantile hypertrophic pyloric stenosis (IHPS) is the most common cause of gastric outlet obstruction in infants and is one of the most common conditions requiring surgery in the newborn. It arises from marked hypertrophy of the pyloric muscle (primarily circular layer), resulting in partial or complete luminal occlusion. Classically these infants have persistent non-bilious vomiting, are dehydrated with weight loss, and have a hypokalaemic, hypochloraemic metabolic alkalosis. Treatment requires initial careful fluid management before definitive surgical correction. Outcomes are now excellent in developed countries and long-term sequelae are not expected after treatment.

Original publication

DOI

10.1016/j.mpsur.2019.09.006

Type

Journal article

Journal

Surgery (United Kingdom)

Publication Date

01/11/2019

Volume

37

Pages

620 - 622