Diagnosing Hypertrophic Pyloric Stenosis: Does Size Matter?
Abstract This retrospective study examines the size of the pyloric tumour at the time of surgery in 100 patients (76 boys, 24 girls) operated over a 2.75 years period from June 1993 to March 1996. The size of the pyloric tumour was classified into one of three categories (short, moderate or large) b...
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| Veröffentlicht in: | European journal of pediatric surgery 1999-12, Vol.9 (6), p.373-375 |
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| container_title | European journal of pediatric surgery |
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| creator | Houben, C. H. Rudolf, O. Misra, D. |
| description | Abstract
This retrospective study examines the size of the pyloric tumour at the time of surgery in 100 patients (76 boys, 24 girls) operated over a 2.75 years period from June 1993 to March 1996. The size of the pyloric tumour was classified into one of three categories (short, moderate or large) by the operating consultant and documented in the operation note.
This study supports the view that the pyloric tumour increases in size with the progressing age of a baby.
Nowadays the diagnosis of hypertrophic pyloric stenosis (HPS) is made on average 2 weeks earlier than in a similar study 4 decades ago.
Two thirds of the patients in the subgroup with short- and moderate-size pyloric tumours did not require any imaging technique to arrive at the diagnosis. Unexpectedly a more frequent use of imaging techniques was required in the subgroup of large pyloric tumours; large tumours tend to present as an ill-defined fullness in the right upper quadrant rather than a distinct olive. |
| doi_str_mv | 10.1055/s-2008-1072286 |
| format | Article |
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This retrospective study examines the size of the pyloric tumour at the time of surgery in 100 patients (76 boys, 24 girls) operated over a 2.75 years period from June 1993 to March 1996. The size of the pyloric tumour was classified into one of three categories (short, moderate or large) by the operating consultant and documented in the operation note.
This study supports the view that the pyloric tumour increases in size with the progressing age of a baby.
Nowadays the diagnosis of hypertrophic pyloric stenosis (HPS) is made on average 2 weeks earlier than in a similar study 4 decades ago.
Two thirds of the patients in the subgroup with short- and moderate-size pyloric tumours did not require any imaging technique to arrive at the diagnosis. Unexpectedly a more frequent use of imaging techniques was required in the subgroup of large pyloric tumours; large tumours tend to present as an ill-defined fullness in the right upper quadrant rather than a distinct olive.</description><identifier>ISSN: 0939-7248</identifier><identifier>EISSN: 1439-359X</identifier><identifier>DOI: 10.1055/s-2008-1072286</identifier><identifier>PMID: 10661846</identifier><language>eng</language><publisher>Stuttgart: Thieme</publisher><subject>Algorithms ; Biological and medical sciences ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Hypertrophy ; Infant, Newborn ; Male ; Malformations ; Medical sciences ; Original article ; Pyloric Stenosis - diagnosis ; Pyloric Stenosis - pathology ; Pyloric Stenosis - surgery ; Retrospective Studies ; Stomach, duodenum, intestine, rectum, anus ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system</subject><ispartof>European journal of pediatric surgery, 1999-12, Vol.9 (6), p.373-375</ispartof><rights>Georg Thieme Verlag KG Stuttgart · New York</rights><rights>2000 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c358t-88c185e7288e0106d3c48bfbc3cd1c6e0afcb124be7cf03bbe8be0c4577ac9913</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-2008-1072286.pdf$$EPDF$$P50$$Gthieme$$H</linktopdf><link.rule.ids>314,780,784,3017,3018,27924,27925,54559</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1267828$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10661846$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Houben, C. H.</creatorcontrib><creatorcontrib>Rudolf, O.</creatorcontrib><creatorcontrib>Misra, D.</creatorcontrib><title>Diagnosing Hypertrophic Pyloric Stenosis: Does Size Matter?</title><title>European journal of pediatric surgery</title><addtitle>Eur J Pediatr Surg</addtitle><description>Abstract
This retrospective study examines the size of the pyloric tumour at the time of surgery in 100 patients (76 boys, 24 girls) operated over a 2.75 years period from June 1993 to March 1996. The size of the pyloric tumour was classified into one of three categories (short, moderate or large) by the operating consultant and documented in the operation note.
This study supports the view that the pyloric tumour increases in size with the progressing age of a baby.
Nowadays the diagnosis of hypertrophic pyloric stenosis (HPS) is made on average 2 weeks earlier than in a similar study 4 decades ago.
Two thirds of the patients in the subgroup with short- and moderate-size pyloric tumours did not require any imaging technique to arrive at the diagnosis. Unexpectedly a more frequent use of imaging techniques was required in the subgroup of large pyloric tumours; large tumours tend to present as an ill-defined fullness in the right upper quadrant rather than a distinct olive.</description><subject>Algorithms</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Hypertrophy</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Malformations</subject><subject>Medical sciences</subject><subject>Original article</subject><subject>Pyloric Stenosis - diagnosis</subject><subject>Pyloric Stenosis - pathology</subject><subject>Pyloric Stenosis - surgery</subject><subject>Retrospective Studies</subject><subject>Stomach, duodenum, intestine, rectum, anus</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><issn>0939-7248</issn><issn>1439-359X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMFLwzAUh4Mobk6vHqUH8daZpGmT6kFkUydMFKbgLSTZ69bRtTVpD_OvN6MFvXj6PXjf-z34EDoneExwHF-7kGIsQoI5pSI5QEPCojSM4vTzEA1x6mdOmRigE-c2GBOWUnyMBgQnCREsGaLbaa5WZeXychXMdjXYxlb1OjfB266orM9FA_u1uwmmFbhgkX9D8KKaBuzdKTrKVOHgrM8R-nh8eJ_Mwvnr0_Pkfh6aKBZNKIQhIgZOhQDsPy8jw4TOtInMkpgEsMqMJpRp4CbDkdYgNGDDYs6VSVMSjdBV11vb6qsF18ht7gwUhSqhap1MUka5YJEHxx1obOWchUzWNt8qu5MEy70u6eRel-x1-YOLvrnVW1j-wTs_HrjsAeWMKjKrSpO7X44mXFDhsbDDmnUOW5CbqrWlV_Lf3x_tXYAK</recordid><startdate>19991201</startdate><enddate>19991201</enddate><creator>Houben, C. H.</creator><creator>Rudolf, O.</creator><creator>Misra, D.</creator><general>Thieme</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19991201</creationdate><title>Diagnosing Hypertrophic Pyloric Stenosis: Does Size Matter?</title><author>Houben, C. H. ; Rudolf, O. ; Misra, D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c358t-88c185e7288e0106d3c48bfbc3cd1c6e0afcb124be7cf03bbe8be0c4577ac9913</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Algorithms</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Hypertrophy</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Malformations</topic><topic>Medical sciences</topic><topic>Original article</topic><topic>Pyloric Stenosis - diagnosis</topic><topic>Pyloric Stenosis - pathology</topic><topic>Pyloric Stenosis - surgery</topic><topic>Retrospective Studies</topic><topic>Stomach, duodenum, intestine, rectum, anus</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Houben, C. H.</creatorcontrib><creatorcontrib>Rudolf, O.</creatorcontrib><creatorcontrib>Misra, D.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Houben, C. H.</au><au>Rudolf, O.</au><au>Misra, D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnosing Hypertrophic Pyloric Stenosis: Does Size Matter?</atitle><jtitle>European journal of pediatric surgery</jtitle><addtitle>Eur J Pediatr Surg</addtitle><date>1999-12-01</date><risdate>1999</risdate><volume>9</volume><issue>6</issue><spage>373</spage><epage>375</epage><pages>373-375</pages><issn>0939-7248</issn><eissn>1439-359X</eissn><abstract>Abstract
This retrospective study examines the size of the pyloric tumour at the time of surgery in 100 patients (76 boys, 24 girls) operated over a 2.75 years period from June 1993 to March 1996. The size of the pyloric tumour was classified into one of three categories (short, moderate or large) by the operating consultant and documented in the operation note.
This study supports the view that the pyloric tumour increases in size with the progressing age of a baby.
Nowadays the diagnosis of hypertrophic pyloric stenosis (HPS) is made on average 2 weeks earlier than in a similar study 4 decades ago.
Two thirds of the patients in the subgroup with short- and moderate-size pyloric tumours did not require any imaging technique to arrive at the diagnosis. Unexpectedly a more frequent use of imaging techniques was required in the subgroup of large pyloric tumours; large tumours tend to present as an ill-defined fullness in the right upper quadrant rather than a distinct olive.</abstract><cop>Stuttgart</cop><pub>Thieme</pub><pmid>10661846</pmid><doi>10.1055/s-2008-1072286</doi><tpages>3</tpages></addata></record> |
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| identifier | ISSN: 0939-7248 |
| ispartof | European journal of pediatric surgery, 1999-12, Vol.9 (6), p.373-375 |
| issn | 0939-7248 1439-359X |
| language | eng |
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| source | MEDLINE; Thieme Connect Journals |
| subjects | Algorithms Biological and medical sciences Female Gastroenterology. Liver. Pancreas. Abdomen Humans Hypertrophy Infant, Newborn Male Malformations Medical sciences Original article Pyloric Stenosis - diagnosis Pyloric Stenosis - pathology Pyloric Stenosis - surgery Retrospective Studies Stomach, duodenum, intestine, rectum, anus Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system |
| title | Diagnosing Hypertrophic Pyloric Stenosis: Does Size Matter? |
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