Pyloric stenosis medical therapy: Difference between revisions

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{{Pyloric stenosis}}
{{Pyloric stenosis}}
{{CMG}}
{{CMG}}; {{AE}} {{MMJ}}
 
 
==Overview==
==Overview==
There are no other imaging findings associated with [disease name].
Decompression of [[stomach]] by suction via [[nasogastric tube]], initial correction of fluid and [[Electrolyte disturbance|electrolyte imbalance]], oral administration of [[atropine sulfate]], and oral feeding with 10 ml of 10% [[glucose]] are necessary in treatment of pyloric stenosis.
 
OR
 
[Imaging modality] may be helpful in the diagnosis of [disease name]. Findings on an [imaging modality] suggestive of/diagnostic of [disease name] include [finding 1], [finding 2], and [finding 3].


==Medical Therapy==
==Medical Therapy==
 
Medical therapt for infantile pyloric stenosis consists of conservative management and include:<ref name="pmid15615476">{{cite journal| author=Sretenović A, Smoljanić Z, Korać G, Sindjeć S, Lukac M, Krstić Z| title=[Conservative treatment of hypertrophic pyloric stenosis in children]. | journal=Srp Arh Celok Lek | year= 2004 | volume= 132 Suppl 1 | issue=  | pages= 93-6 | pmid=15615476 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15615476  }} </ref><ref name="pmid15923695">{{cite journal| author=Singh UK, Kumar R, Prasad R| title=Oral atropine sulfate for infantile hypertrophic pyloric stenosis. | journal=Indian Pediatr | year= 2005 | volume= 42 | issue= 5 | pages= 473-6 | pmid=15923695 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15923695  }} </ref><ref name="pmid3592973">{{cite journal| author=Golladay ES, Broadwater JR, Mollitt DL| title=Pyloric stenosis--a timed perspective. | journal=Arch Surg | year= 1987 | volume= 122 | issue= 7 | pages= 825-6 | pmid=3592973 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3592973  }} </ref>
* It is important to understand that the danger of pyloric stenosis comes from the [[dehydration]] and [[electrolyte disturbance]] rather than the underlying problem itself. Therefore, the baby must be initially stabilized by correcting the [[dehydration]] and hypochloremic alkalosis with IV fluids. This can usually be accomplished in about 24-48 hours.
* Decompression of [[stomach]] by suction via [[nasogastric tube]]
 
* Initial correction of fluid and [[Electrolyte disturbance|electrolyte imbalance]]
====Contraindicated medications====
* Oral administration of [[Atropine|atropine sulfate]]
 
* Oral feeding with 10 ml of 10% [[glucose]]
{{MedCondContrAbs
 
|MedCond = Organic pyloric stenosis|Macamylamine}}
 
 
 
==Other Imaging Findings==
*There are no other imaging findings associated with [disease name].
 
*[Imaging modality] may be helpful in the diagnosis of [disease name]. Findings on an [imaging modality] suggestive of/diagnostic of [disease name] include:
**[Finding 1]
**[Finding 2]
**[Finding 3]
 


==References==
==References==
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[[Category:Surgery]]
[[Category:Gastroenterology]]
[[Category:Gastroenterology]]
[[Category:Surgery]]
[[Category:Disease]]
[[Category:Pediatrics]]
[[Category:Up-To-Date]]

Latest revision as of 21:41, 11 December 2017

Pyloric stenosis Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D.[2]

Overview

Decompression of stomach by suction via nasogastric tube, initial correction of fluid and electrolyte imbalance, oral administration of atropine sulfate, and oral feeding with 10 ml of 10% glucose are necessary in treatment of pyloric stenosis.

Medical Therapy

Medical therapt for infantile pyloric stenosis consists of conservative management and include:[1][2][3]

References

  1. ↑ Sretenović A, Smoljanić Z, Korać G, Sindjeć S, Lukac M, Krstić Z (2004). "[Conservative treatment of hypertrophic pyloric stenosis in children]". Srp Arh Celok Lek. 132 Suppl 1: 93–6. PMID 15615476.
  2. ↑ Singh UK, Kumar R, Prasad R (2005). "Oral atropine sulfate for infantile hypertrophic pyloric stenosis". Indian Pediatr. 42 (5): 473–6. PMID 15923695.
  3. ↑ Golladay ES, Broadwater JR, Mollitt DL (1987). "Pyloric stenosis--a timed perspective". Arch Surg. 122 (7): 825–6. PMID 3592973.

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