Hypertrophic pyloric stenosis, true about
A. Common in females.B. Present after 3-5 wks of birth
C. USG can’t diagnose.
D. Alkalosis.
E. Surgery is the TOC
Ans.
(B) Present after 3-5 wks of birth; (D)
Alkalosis; (E) Surgery is the TOC.
• Congenital hypertrophic pyloric stenosis can be diagnosed by
- USG:- Most sensitive test, identifies when the muscle thickness >4mm & the length of the pylorus is >16mm.
- Contrast upper abd.
• Surgery is the treatment of choice. Preferred operative treatment is “Fredet — Ramstedt
Pyloromyotomy” which should be undertaken after corretion of hydration & electrolytes.
• Congenital hypertrophic pyloric stenosis can be diagnosed by
- USG:- Most sensitive test, identifies when the muscle thickness >4mm & the length of the pylorus is >16mm.
- Contrast upper abd.
• Surgery is the treatment of choice. Preferred operative treatment is “Fredet — Ramstedt
Pyloromyotomy” which should be undertaken after corretion of hydration & electrolytes.
