Pylorostenosis
Pylorosthenosis is a malformation of the pyloric part of the stomach. The reason is the degeneration of the pylorus's muscular layer, its thickening, which is connected by a violation of innervation. As a result, the gatekeeper looks like a tumor-like formation of white color and cartilaginous conformation.
The first and main symptom of pyloric stenosis is vomiting "fountain", which appears at the end of the second - the beginning of the third week of life. Vomiting occurs between feedings, at first rare, then increases. The volume of vomit, consisting of curdled milk with an acidic odor, without bile impurities, in quantity exceeds the dose of a single feed. The child becomes restless, hypotrophy and dehydration develops, urination becomes rare, and a tendency to constipation appears.
When examining the abdomen in the epigastric region, a swelling and strengthened, segmented peristalsis of the stomach-the symptom of the "hourglass" -is determined. In 50-85% of cases under the edge of the liver, at the outer edge of the rectus muscle it is possible to palpate the doorkeeper, which looks like a dense tumor of a creamy shape, shifting from top to bottom. There is anemia of an alimentary character, a thickening of the blood (increase of the hematocrit). Due to losses of chlorine and cadia with vomiting, their level in the blood decreases, metabolic alkalosis develops. Decompensated form of pyloric stenosis occurs in patients relatively rarely.
To confirm the diagnosis of pyloric stenosis, a contrast X-ray examination of the stomach is used, in which an increase in its size and the presence of a liquid level during an examination on an empty stomach, a delay in the evacuation of the barium suspension, narrowing and lengthening of the pyloric canal (beak symptom).
One of the most informative methods for diagnosing pyloric stenosis is fibro-esophagogastroscopy. With pyloricrosis, endoscopy reveals a pinhole in the gatekeeper, the convergence of the folds of the mucous membrane of the antrum of the stomach toward the narrowed pylorus. When insufflation with air, the doorkeeper does not open, an attempt to hold the endoscope in the duodenum is impossible. At carrying out of atropine assay the gatekeeper remains closed (unlike pylorospasm). In many cases antrum-gastritis and reflux-esophagitis are detected.
Differentiate pyloric stenosis follows from various vegetosomatic disorders accompanied by pyloric stenosis, and pseudopylostenosis (Debreu-Phibiger syndrome).
Treatment of pyloric stenosis is only surgical. Operative intervention should be preceded by preoperative preparation aimed at restoring water-electrolyte and acid-base balance. The technique of the operation is in the extra-porous pyloromyotomy according to Fred-Ramstedt. Feeding after the operation is dosed, gradually increasing to the age norm by the 8th-9th day after the operation. Deficiency of fluid is replenished parenterally and by nutritional enemas. As a rule, the operation leads to complete recovery of the child.
- Surgical diseases
- Abscess
- Abscess appendicular
- Abscesses of the abdominal cavity
- Abscess of the Douglas space
- Intestinal abscess
- Abscess of the lung
- Soft tissue abscess
- Abscesses of soft tissues after injection
- Abscess of liver
- Amoebic liver abscess
- Prostate adenoma
- Actinomycosis
- Aneurysm
- False aneurysm
- True aneurysms
- Aneurysm of the aortic arch
- Aneurysm of descending thoracic aorta
- Dissecting Aneurysm
- Aneurysm of the abdominal aorta
- Aneurysm of peripheral vessels
- Arteriovenous aneurysm
- Aneurimas of the heart
- Appendicitis acute
- Perforation of the appendage
- Appendicular infiltration
- Pielephlebitis
- Atheroma
- Bronchoectasis
- Varicose veins
- Varicose veins of the spermatic cord
- Dropsy of testis and spermatic cord
- Rectal prolapse
- Gangrene gas
- Gangrene lung
- Hemorrhoids
- Hydradenite
- Gynecomastia
- Hernia
- Internal hernias
- Hernias of the esophagus
- External hernias
- Herniated hernias
- Herniated hernia
- Hernia of the white line
- Hernia postoperative ventral
- Herniated hernia
- Rare hernias
- Pincushion
- Phlegmon hernial sac
- False infringement of a hernia
- Hernias with inflammation
- Dumping syndrome
- Diverticulum
- Esophagus diverticulum
- Cervical diverticulum
- Bifurcation diverticulum
- Epiphrenial diverticulum
- Epiphrenial diverticulum
- Diverticulum of the stomach
- Diverticulum of the duodenum
- Meckel's diverticulum
- Jaundice mechanical
- Bile duct stones
- Ventilated stone of choledoch
- Papillotenosis
- Stricture of bile ducts
- Cancer of the head of the pancreas
- Cholelithiasis
- Urinary retention acute
- Zollinger-Ellison syndrome
- Foreign bodies of bronchi
- Foreign bodies of the stomach
- Foreign bodies of the esophagus
- Foreign bodies of soft tissues
- Carbuncle
- Brushes and fistulas of the neck are lateral
- Cysts and fistulas of the neck median
- Colitis ulcerative ulcerative
- Coccygeal epithelial passage
- Cryptorchidism
- Bleeding
- Bleeding internal
- Bleeding gastrointestinal
- Varicose veins
- The Mallory-Weiss Syndrome
- Bleeding into the abdominal cavity
- Bleeding pulmonary
- Bleeding external
- Parenchymal hemorrhage
- Crohn's disease
- Lymphadenitis
- Lymphangitis
- Mastitis
- Putrefactive mastitis
- Acute non-lactational mastitis
- Chronic mastitis
- Megacolon
- Mediastinitis
- Intestinal obstruction
- Paralytic intestinal obstruction
- Mechanical intestinal obstruction
- X-ray diagnostics
- Specific types of intestinal obstruction
- Ingrown throat
- Frostbite
- Local cooling
- Burn
- Occlusion of the main arteries
- Acute occlusion of the vessels of the extremities
- Acute occlusion of mesenteric vessels
- Chronic occlusions of arterial vessels
- Obtiterating atherosclerosis
- Aortic ileal type
- Hips and popliteal type
- Peripheral type
- Occlusion of aortic arch branches
- Occlusion of carotid arteries
- Occlusion of the subclavian artery
- Takayasu's syndrome (absence of pulse)
- Chronic occlusion of mesenteric vessels (abdominal toad)
- Stenosis of the renal arteries
- Obliterating thrombangitis
- Raynaud's disease
- Orcoepididymitis
- Acute abdomen
- Acute pancreatitis
- Chronic pancreatitis
- Acute cholecystitis
- Panaritium
- Panaritium cutaneous
- Paronichy
- Panaritium subungual
- Panaritium tendinous
- Panaritium articular
- Panaritium bone
- Penetrating ulcer of the stomach and duodenum
- Peritonitis
- Peritonitis chronic
- Piopevneumotorax
- Pneumothorax spontaneous
- Postcholecystectomy syndrome
- Perforated ulcer
- Covered perforation
- Bedsore
- Prostatitis
- Wounds
- Fistulas of the rectum
- Stenosis of the outlet stomach
- Fracture of anus
- Urethritis
- Phimosis, paraphimosis
- Phlebothrombosis
- Occlusion of subclavian vein
- Phlegmon
- Furuncle
- Cholangitis
- Electric trauma
- Empyema of the pleura
- Congenital intestinal obstruction
- Atresia of the anus
- Congenital cholangiopathy of newborns
- Embryonic hernia (hernia of umbilical cord)
- Exstrophy of the bladder
- Dropsy of shells of testis and spermatic cord
- Surgical diseases of the chest
- Congenital diaphragmatic hernia
- Congenital cysts of the lungs
- Pneumothorax
- Tracheophishoprine fistula
- Mastitis of newborns
- Acute hematogenous osteomyelitis
- Peritonitis in newborns
- Acute paraproctitis
- Necrotic phlegmon of newborns
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