The Ewha Medical Journal
Ewha Womans University School of Medicine
Original Article

Clinical Analysis of Congenital Hypertrophic Pyloric Stenosis

Kum Ja Choi
Corresponding author: Kum-ja Choi. Department of Surgery, College of Medicine, Ewha Womans University, Korea.

Copyright ⓒ 1986. Ewha Womans University School of Medicine. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: Jul 24, 2015

Abstract

Fifteen infants with congenital hypertrophic pyloric stenosis who underwent pyloromyotomy at Dept. of Surgery, Ewha Womans Univ. Hospital for 5 years from Sept. 1981 to Aug. 1986, have been reviewed. The results were as follows. 1) Infants with congenital hypertrophic pyloric stenosis were 1.6% of the total pediatric surgical patients. 2) Eleven cases male and 4 cases were female. A ratio of male to fermale was 2.8:1. 3) The age distribution was 11 cases(73.3%) between 4 and 6 weeks. 4) The distribution of birth rank in siblings was 7 cases of first-born infants and 8 cases of second-born infants. 5) The distribution of type of feeding was 7 cases of breast-fed infants and 6 cases of cow milk-fed infants. 6) The seasonal distribution was 6 cases in Winter, 5 cases in Spring, and each 2 cases in Summer and Autumn. 7) The number of cases associated with the other congenital anomalies was 3 cases. 8) Non bile-stained projectile vomiting was the most prominant symptom and onset time was mostly between 3 and 5 weeks. 9) The pathognomonic olive shaped mass was palpable in 11 cases and the size of mass was average 2.4x1. 4cm. 10) The results of Ramstedt pyloromyotomy or Koop's modification was excellent without operative faults.