Infantile Hypertrophic Pyloric Stenosis at the Hospital Central P.N.P. Lima-Peru. A Ten Years Retrospective Survey

• Autor: Orue Orue, Moncerrat
• Formato: artículo
• Fecha de Publicación: 1999
• Institución: Universidad Nacional Mayor de San Marcos
• Repositorio: Revistas - Universidad Nacional Mayor de San Marcos
• Lenguaje: español
• OAI Identifier: oai:ojs.csi.unmsm:article/4380
• Enlace del recurso: https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/4380
• Nivel de acceso: acceso abierto
• Materia: Pyloric Stenosis; Pyloro; Postoperative Complications; Surgery; Operative; Estenosis Pilórica; Píloro; Complicaciones Postoperatorias; Técnicas Quirúrgicas

OBJECTIVE: To establish the incidence of Infantile Hypertrophic Pyloric Stenosis (IHPS) at Hospital de Policia, its associated factors and propose a procedure guideline for IHPS. MATERIAL AND METHODS: Retrospective study of patients who underwent IHPS surgical repair in the Hospital de Policía Pediatric Surgery Department between January 1985 and December 1994. RESULTS: We found 44 cases (incidence 1,67 x 1 000 live-born children), 35 (79%) were male, and the average age of initiation was 3rd to 4th week of life (range: 16-67 days). Predominant symptom was vomiting (100%). All of them underwent pyloromiotomy (Fredet-Ramstedt’s technique). 45% of patients complains postoperative complications, and vomiting (27%) was the most frequent one. There was no mortality. CONCLUSION: Our clinical and epidemiological features for IHPS were similar to those observed in other studies. Mean age 3 to 5 weeks, male gender, first child, and breastfeeding were the most associated factors.