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Pediatric Surgery International

Erschienen in:

13.10.2017 | Review Article

Pyloric stenosis: an enigma more than a century after the first successful treatment

verfasst von: Yousef El-Gohary, Abdelhafeez Abdelhafeez, Elizabeth Paton, Ankush Gosain, Andrew J. Murphy

Erschienen in: Pediatric Surgery International | Ausgabe 1/2018

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Abstract

Despite hypertrophic pyloric stenosis (HPS) being one of the most frequently treated pediatric surgical conditions, its etiology remains incompletely understood. We review the diagnosis and treatment of this condition with an emphasis on the evolution of surgical techniques that led to laparoscopic pyloromyotomy, the most frequently performed technique for HPS today. In addition, we review key developments in the understanding of HPS etiology and treatment, including the postulated etiology of work-induced hypertrophy of the pylorus, its association with prokinetic macrolide antibiotics, and the emerging role of atropine sulfate as a medical treatment for HPS or a rescue treatment for incomplete myotomy.

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Titel: Pyloric stenosis: an enigma more than a century after the first successful treatment
verfasst von: Yousef El-Gohary
Abdelhafeez Abdelhafeez
Elizabeth Paton
Ankush Gosain
Andrew J. Murphy
Publikationsdatum: 13.10.2017
Verlag: Springer Berlin Heidelberg
Erschienen in: Pediatric Surgery International / Ausgabe 1/2018
Print ISSN: 0179-0358
Elektronische ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-017-4196-y

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