DEFINITION CAUSES SIGNS AND SYMPTOMS MANAGEMENT

2. 
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DEFINITION
CAUSES
SIGNS AND SYMPTOMS
MANAGEMENT
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MEDICAL MANAGEMENT
SURGICAL MANAGEMENT

3. 
Pyloric stenosis is the hypertrophy of
sphincter muscles of the pylorus.

4. 
Previous duodenal ulceration
 Carcinoma
 Seen most often in firstborn children

5. 
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Projectile vomiting
Vomiting is followed immediately by eagerness to take
food
Loss of weight
The peristaltic waves can be seen across abdomen
passing from right to left and reverse immediately
prior to vomiting
Symptoms usually appear in the second or third week
of life and seldom develop after 3-4 months of age.
Tumor mass may be felt in the RUQ of the infant’s
abdomen.

6. MANAGEMENT

7. 
Small frequent feed and cereals may be substituted for
some of the milk, since solid foods are less easily vomited.

Provide quiet and relaxed environment to the infant.

Provide extra warmth to infant.

Very gentle rocking prior and immediately following
meals to avoid the infant becomes upset.

Small amounts of sedative drugs such as Phenobarbital
or the alkaloids of belladonna such as atropine are given
in regular doses several times a day, usually preceding
meals.

8. Pylorotomy or Ramstedt operation
•
It consists of incision in to the sphincter muscle of the
pylorus.
•
NG tube is passed and gastric contents are aspirated just
prior to surgery.
•
Since only the muscle layers are cut and the stomach is
not entered during surgery, permit the infant to have
water and sometimes formula as soon as he /she reacted
completely from the anesthesia.

9. THE END