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Changing trends in the management of Infantile Hypertrophic Pyloric Stenosis-an audit over 11 yearsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion  We conclude a change in practice in the management of IHPS with radiology, particularly ultrasound, playing an increasing role. Content Type Journal ArticleCategory Original PapersDOI 10.1007/BF03169126Authors D. Doyle, Cork University Hospital Dept. of Radiology CorkM. O’Neill, Cork University Hospital Dept. of Radiology CorkD. Kelly, Cork University Hospital Dept. of Radiology Cork Journal Irish Journal of Medical ScienceOnline ISSN 1863-4362Print ISSN 0021-1265 Journal Volume Volume 174 Journal Issue Volume 174, Number 2 / April, 2005 (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - October 28, 2009 Category: Journals (General) Tags: Irish Journal of Medical Science Source Type: journals

The evidence base for neonatal surgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: The practise of evidence based medicine means integrating the clinical expertise with the best available external clinical evidence from systematic research. There is a lack of supporting scientific evidence from rigorous trials in neonatal surgery. The indications for surgery and the type of operation performed in neonates are rarely supported by randomised controlled trials. As a consequence, the majority of the operations performed in neonates are supported by retrospective studies and surgeon preference.This review article is focussed on operations in neonates which are performed by general paediatric surgeon...
Source: Early Human Development - October 23, 2009 Category: Perinatology & Neonatology Authors: Nigel J. Hall, Simon Eaton, Agostino Pierro Tags: Guest Editor N. Modi Source Type: journals

Infantile hypertrophic pyloric stenosis in a regional centreEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion  The majority of infants with IHPS may be safely managed in regional centres with transfer to specialist paediatric centres reserved for ‘high risk’ cases. The management of IHPS at a regional level has important implications and presents opportunities for surgical training. Content Type Journal ArticleCategory Original PaperDOI 10.1007/BF03166908Authors P. D. Kiely, Mid-Western Regional Hospital and the University of Limerick Biomedical Institute Department of Surgery Limerick IrelandS. Tierney, Mid-Western Regional Hospital and the University of Limerick Biomedical Institute Department...
Source: Irish Journal of Medical Science - October 14, 2009 Category: Journals (General) Tags: Irish Journal of Medical Science Source Type: journals

Pyloric stenosis: A retrospective study of an Australian populationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Increased awareness of idiopathic hypertrophic pyloric stenosis (IHPS) and readily available ultrasonographic diagnosis might mean that 'classic' presentations are becoming less common. We sought to describe the epidemiology, clinical features and outcomes of children with IHPS in the modern era. A retrospective case review of all cases of IHPS presenting to a single tertiary paediatric hospital over an 11 year period was conducted. Inclusion criteria were met by 329 children with confirmed IHPS. Eighty-four per cent of patients were male and 19% were born premature. Premature infants tended to present later, reflecting po...
Source: Emergency Medicine Australasia - October 12, 2009 Category: Emergency Medicine Authors: Lisa M Gotley, A Blanch, R Kimble, K Frawley, Jason P Acworth Tags: Paediatric Emergency Medicine Source Type: journals

Impact of spinal anesthesia for open pyloromyotomy on operating room timeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The use of spinal anesthesia for open pyloromyotomy in infants with HPS shortens the operating room time by reducing the wake-up time. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - September 30, 2009 Category: Surgery Authors: Ludmyla Kachko, Eliahu Simhi, Enrique Freud, Elena Dlugy, Jacob Katz Tags: Original Articles Source Type: journals

Duodenal stenosis caused by cystic dystrophy in heterotopic pancreas: Report of a caseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract  We herein describe the first reported case of duodenal stenosis caused by cystic dystrophy in heterotopic pancreas (CDHP) in Asia. A 63-year-old man was admitted to the hospital presenting with nausea and vomiting of 2 days’ duration. Laboratory examinations showed an elevation in both the serum amylase level (275 IU/l) and white blood cell count (13 600/µl). A 3-cm-diameter tumor close against the duodenum was pointed out from the results of computed tomography (CT) and magnetic resonance cholangiopancreatography (MRCP); the tumor contained a cystic and solid component. Endoscopic examinations a...
Source: Surgery Today - September 23, 2009 Category: Surgery Tags: surgery Today Source Type: journals

New insights into the pathogenesis of infantile pyloric stenosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract  Infantile hypertrophic pyloric stenosis (IHPS) is the most common surgical cause of vomiting in infants. Despite numerous hypotheses, the aetiopathogenesis of IHPS is not fully understood. Genetic, extrinsic and hormonal factors have been implicated in the pathogenesis of the disease. Furthermore, abnormalities of various components of the pyloric muscle such as smooth muscle cells, growth factors, extracellular matrix elements, nerve and ganglion cells, synapses, nerve supporting cells, neurotransmitters and interstitial cells of Cajal have been reported. Recently, genetic studies have identified s...
Source: Pediatric Surgery International - September 17, 2009 Category: Surgery Tags: Pediatric surgery International Source Type: journals

Pyloric stenosis in an iniencephalic infant with a congenital intra-thoracic stomachEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report the first case of hypertrophic pyloric stenosis in an intrathoracic stomach in a neonate with congenital ultra-short oesophagus and iniencephaly clausus. Antenatal ultrasound detected right-sided thoracic cystic lesions and postnatal investigations revealed an intra-thoracic stomach and spleen with an ultra-short oesophagus and intact diaphragm. Subsequently, she developed pyloric stenosis. Such neonates require urgent referral to surgical centres for what is a challenging diagnosis and complicated management. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00383-009-2479-7Authors Lucinda C....
Source: Pediatric Surgery International - September 3, 2009 Category: Surgery Tags: Pediatric surgery International Source Type: journals

Pierre Fredet and pyloromyotomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Pyloromytotomy for hypertrophic pyloric stenosis is one of the most important operations of the 20th century. A hundred years ago, few infants with this disease survived. Now every baby with pyloric stenosis should live. We owe a great debt to the surgical pioneers, such as Pierre Fredet, who brought about this remarkable accomplishment. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - August 31, 2009 Category: Surgery Authors: John Raffensperger Tags: Historical Review Source Type: journals

Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Many innovations and approaches have been tried for the surgical management of infantile hypertrophic pyloric stenosis (IHPS) since Ramstedt's first successful surgery almost 100 years ago. A new technique is described by the authors, which may offer better results for this common condition. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - August 31, 2009 Category: Surgery Authors: Thomas A. Angerpointner Tags: International Abstracts of Pediatric surgery Source Type: journals

Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The aim of this study was to evaluate the effects of different access methods for the treatment of pyloric stenosis (PS). Since 2001, the authors have operated on children with PS using 3 different access methods: classic right upper quadrant transverse incision (TI), incision on the superior umbilical fold (UI), and laparoscopic (L). The records for these children were reviewed with special emphasis on the number and characteristics of complications, operative time, and length of hospital stay (LOS). (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - August 31, 2009 Category: Surgery Authors: Thomas A. Angerpointner Tags: International Abstracts of Pediatric surgery Source Type: journals

A novel association of duodenal atresia, malrotation, segmental dilatation of the colon, and anorectal malformationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe two female neonates who suffered from four gastrointestinal anomalies, including duodenal stenosis or atresia, malrotation, segmental dilatation of the colon, and anorectal malformation. Each patient was managed by two or three operations, resulting in good bowel movements. Since this is the first report of four gastrointestinal anomalies, these cases may provide clues to elucidate the etiology of gastrointestinal tract developmental abnormalities. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00383-009-2459-yAuthors Nobuyuki Morikawa, National Center for Child Health and Development Divi...
Source: Pediatric Surgery International - August 21, 2009 Category: Surgery Tags: Pediatric surgery International Source Type: journals

Early pyloric stenosis: a case control studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions  Babies presenting with EPS are more likely to be breast fed and to have a positive family history. EPS is associated with a longer hospital stay. Use of sonographic diagnostic measurements specific to this age group may prevent delays in diagnosis and treatment, and improve outcomes. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00383-009-2463-2Authors Marie Demian, California & University of California, Irvine School of Medicine Division of Pediatric Surgery, Miller Children’s Hospital, Long Beach Orange CA USASon Nguyen, Miller Children’s Hospital Department of Pe...
Source: Pediatric Surgery International - August 21, 2009 Category: Surgery Tags: Pediatric surgery International Source Type: journals

Duodenal stenosis resulting from a preduodenal portal vein and an operation for scoliosis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A preduodenal portal vein (PDPV) is known to be a rare cause of duodenal stenosis. We treated a 22-year-old male patient with malnutrition as a result of PDPV and a previously performed operation for scoliosis, who showed an improvement in quality of life after being treated with a combination of nutritional support and surgery. The patient with PDPV had been admitted to our department with duodenal stenosis, ranging from the first to third portions. He had suffered from vomiting since 1 year of age, and he developed malnutrition during the last 6-mo period after orthopedic surgery for scoliosis. The stenosis was relat...
Source: World Journal of Gastroenterology : WJG - August 20, 2009 Category: Gastroenterology Authors: Masumoto K, Teshiba R, Esumi G, Nagata K, Nakatsuji T, Nishimoto Y, Yamaguchi S, Sumitomo K, Taguchi T Tags: World J Gastroenterol Source Type: journals

Laparoscopic vs open pyloromyotomy: a systematic review and meta-analysisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: This meta-analysis favors the laparoscopic approach with significantly reduced rate of total complications, which is mostly due to a lower wound complication rate. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - July 28, 2009 Category: Surgery Authors: Juan E. Sola, Holly L. Neville Tags: Review Source Type: journals

Congenital Abdominal Aortic Aneurysm and Hypertrophic Pyloric Stenosis in an InfantEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Infantile abdominal aortic aneurysms are rare, usually detected incidentally, and associated with connective tissue disease or due to iatrogenic causes. The diagnosis should be considered when a large cystic mass (especially pulsatile) is found in a neonate and confirmed using color and duplex sonography. Undiagnosed aneurysms have a high mortality rate. Surgical treatment is warranted when the patient is stabilized and may result in a normal outcome, although future graft replacement may be necessary. (Source: Journal of Diagnostic Medical Sonography)
Source: Journal of Diagnostic Medical Sonography - July 16, 2009 Category: Radiology Authors: Callahan, J., Drolshagen, L., Cole, A., Duncan, N. Tags: Article Source Type: journals

Papillectomy for ampullary neoplasm: results of a single referral center over a 10-year periodEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Most ampullary adenomas are amenable to endoscopy. Underlying malignancy and lateral extension may be risk factors for bleeding and perforation. Smaller lesion size and the absence of dilated ducts are factors favorably affecting success. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - July 16, 2009 Category: Gastroenterology Authors: Shayan Irani, Andrew Arai, Kamran Ayub, Thomas Biehl, John J. Brandabur, Russell Dorer, Michael Gluck, Geoffrey Jiranek, David Patterson, Drew Schembre, L. William Traverso, Richard A. Kozarek Tags: Clinical Endoscopy Source Type: journals

ESPEN Guidelines on Parenteral Nutrition: PancreasEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Summary: Assessment of the severity of acute pancreatitis (AP), together with the patient's nutritional status is crucial in the decision making process that determines the need for artificial nutrition. Both should be done on admission and at frequent intervals thereafter. The indication for nutritional support in AP is actual or anticipated inadequate oral intake for 5–7days. This period may be shorter in those with pre-existing malnutrition. Substrate metabolism in severe AP is similar to that in severe sepsis or trauma. Parenteral amino acids, glucose and lipid infusion do not affect pancreatic secretion and function...
Source: Clinical Nutrition - July 14, 2009 Category: Nutrition Authors: L. Gianotti, R. Meier, D.N. Lobo, C. Bassi, C.H.C. Dejong, J. Ockenga, O. Irtun, J. MacFie Source Type: journals

Large-balloon technique for one-step endoscopic biliary stenting in patients with an inaccessible major papilla owing to difficult duodenal stricture (with video)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Use of large-balloon dilation can contribute to successful ERCP in patients with difficult duodenal strictures. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - July 1, 2009 Category: Gastroenterology Authors: Masataka Kikuyama, Takao Itoi, Yuzo Sasada, Atsushi Sofuni, Yuji Ota, Fumihide Itokawa Tags: Case Studies Source Type: journals

Encoscopic management of stenotic anastomosis using a rendezvous technique after pancreatogastrostomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 46-year-old female patient was referred to our hospital for endoscopic treatment of stenotic pancreatogastrostomy. She had undergone pylorus-preserving pancreatoduodenectomy due to duodenal carcinoma of the papilla of Vater 5 years before referral. Two years after the operation, she had to be hospitalized several times during a 1-year period because of acute recurrent pancreatitis caused by stenosis of the anastomosis of the pancreatoduodenostomy. An endoscopic ultrasound (EUS)-guided rendezvous technique was selected to puncture the main pancreatic duct via a transgastric approach. We identified the dilated main pancrea...
Source: Digestive Endoscopy - June 21, 2009 Category: Gastroenterology Authors: Yuji Ota, Masataka Kikuyama, Yuzo Sasada, Toru Matsuhashi, Jun Nakahodo, Kenji Yamao, Tomoyuki Shirafuji Tags: HOW I DO IT Source Type: journals

[Miscellanea] Open or laparoscopic pyloromyotomy for infantile pyloric stenosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Archives of Disease in Childhood)
Source: Archives of Disease in Childhood - June 18, 2009 Category: Pediatrics Tags: Miscellanea Source Type: journals

Return of the surgeon in the diagnosis of pyloric stenosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Surgeons who have undergone focused training to perform US for PS can diagnose the condition without confirmatory testing by a radiologist. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - May 31, 2009 Category: Surgery Authors: Daniel R. Copeland, Graham H. Cosper, Lisa E. McMahon, Cristiano Boneti, Danny C. Little, Melvin S. Dassinger, Evan R. Kokoska, Richard J. Jackson, Samuel D. Smith Tags: AAP Papers Source Type: journals

Appropriate management of special situations in Crohn's disease (upper gastro-intestinal; extra-intestinal manifestations; drug safety during pregnancy and breastfeeding): Results of a multidisciplinary international expert panel—EPACT IIEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: EPACT II recommendations are freely available online (www.epact.ch). The validity of these criteria should now be tested by prospective evaluation. (Source: Journal of Critical Care)
Source: Journal of Critical Care - May 18, 2009 Category: Gastroenterology Authors: Christian Mottet, John-Paul Vader, Christian Felley, Florian Froehlich, Jean-Jacques Gonvers, Pascal Juillerat, Reinhold Stockbrügger, Erika Angelucci, Frank Seibold, Pierre Michetti, Valérie Pittet, the EPACT II Study Group Tags: Regular papers Source Type: journals

Feasibility of self-expandable metallic stent plus chemotherapy for metastatic gastric cancer with pyloric stenosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The present results suggest that chemotherapy after stenting is as effective and safe as chemotherapy after surgery. Stents may replace surgery in combination therapy with chemotherapy for metastatic gastric cancer with gastric outlet obstruction. (Source: Journal of Gastroenterology and Hepatology)
Source: Journal of Gastroenterology and Hepatology - May 10, 2009 Category: Gastroenterology Authors: Takaya Shimura, Hiromi Kataoka, Makoto Sasaki, Tomonori Yamada, Kazuki Hayashi, Shozo Togawa, Fumihiro Okumura, Eiji Kubota, Hirotaka Ohara, Takashi Joh Source Type: journals

Laparoscopic duodenoduodenostomy in the neonateEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Laparoscopic duodenoduodenostomy in the neonate can be safely and successfully performed with excellent short-term outcome. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - May 1, 2009 Category: Surgery Authors: Saundra Kay, Suzanne Yoder, Steve Rothenberg Tags: Caps Original Papers Source Type: journals

Surgical treatment for right colon cancer directly invading the duodenum.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, duodenal invasion by a right-sided colon carcinoma does not necessarily represent incurable disease. If carefully applied based on the extent of duodenal invasion, active surgical management is very useful for improving patient prognosis without increasing the risks associated with surgery. PMID: 19445288 [PubMed - indexed for MEDLINE] (Source: The American Surgeon)
Source: The American Surgeon - April 30, 2009 Category: Surgery Authors: Lianwen Y, Jianping Z, Guoshun S, Dongcai L, Jiapeng Z Tags: Am Surg Source Type: journals

Open Versus Laparoscopic Pyloromyotomy for Pyloric StenosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Commentary on a study on a laparoscopic approach for pyloromyotomy in infants, published January 2009 in Lancet. Medscape General Surgery (Source: Medscape Gastroenterology Headlines)
Source: Medscape Gastroenterology Headlines - April 21, 2009 Category: Gastroenterology Tags: General surgery Source Type: info

Carbon dioxide embolism in a 3-week-old neonate during laparoscopic pyloromyotomy: a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe a case of carbon dioxide embolism in a 3-week-old neonate during laparoscopic pyloromyotomy by injection of carbon dioxide into a patent umbilical vein. The diagnosis of carbon dioxide embolism was made on the basis of the abrupt decrease in end-tidal CO2, sudden decreased Spo2, hypotension, and cyanosis. Portable x-ray with the clinical presentation was sufficient for a diagnosis of carbon dioxide embolism. Treatment included termination of CO2 insufflation, placing the patient in Durant's position, and adequate resuscitation as necessary. Despite the fact that the insufflation pressure was in the recommended ...
Source: Journal of Pediatric Surgery - April 1, 2009 Category: Surgery Authors: Omar Yusef Kudsi, Sarah A. Jones, B. Randall Brenn Tags: Case Reports Source Type: journals

Hypertrophic pyloric stenosis and pulmonary hypertension in a neonate. A common mechanism?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, the association of pulmonary hypertension and pyloric stenosis has not been described before and may be explained by a lowered plasma concentration of arginine leading to deficient NO synthesis in the affected organ systems. (Source: Acta Paediatrica)
Source: Acta Paediatrica - March 19, 2009 Category: Pediatrics Authors: AGA Brouwers, CMJA Waals-van de Wal Source Type: journals

Gastric tube interposition for corrosive esophagitis associated with pyloric stenosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe how we successfully treated corrosive esophagitis associated with pyloric stenosis, by performing gastric tube interposition for the esophageal reconstruction. After resecting the injured distal part of the stomach, we pulled the pedunculated gastric tube up to the cervix after anastomosis to the jejunal limb in a Roux-en-Y fashion. This reconstruction procedure prevented excessive organ sacrifice and was minimally invasive. Thus, esophageal reconstruction by interposition using a pedunculated gastric tube can be used effectively to treat corrosive esophagitis associated with pyloric stenosis. Content T...
Source: Surgery Today - March 12, 2009 Category: Surgery Tags: surgery Today Source Type: journals

Management of Complications Associated with Partially Covered Biliary Metal StentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Major complications associated with PCMS placement include migration and cholecystitis. Their management includes endoscopic revision, cholecystectomy, and gallbladder drainage. Further improvements in the structure and composition of PCMS may prevent these complications. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10620-009-0756-xAuthors Henry Ho, University of Virginia Health System Digestive Health Center Charlottesville Box 800708 VA 22908-0708 USAAnshu Mahajan, University of Virginia Health System Digestive Health Center Charlottesville Box 800708 VA 22908-0708 USASonia Gosain,...
Source: Digestive Diseases and Sciences - March 7, 2009 Category: Gastroenterology Tags: Digestive Diseases and Sciences Source Type: journals

The progressive development of pyloric stenosis: a role for repeat ultrasoundEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Patients presenting in the first 3 months of life with nonbilious emesis are commonly studied by ultrasound. A negative study effectively rules out pyloric stenosis. However, the development of pyloric stenosis is a progressive and dynamic process. The rate of hypertrophy to the point of meeting diagnostic criteria is unknown, and there are no data published in the literature regarding the role of repeat ultrasound in patients with persistent symptoms. During a prospective, randomized trial, the authors identified three patients with negative ultrasounds who subsequently were diagnosed and treated for pyloric stenosis. Thi...
Source: Journal of Pediatric Surgery - March 1, 2009 Category: Surgery Authors: Thomas A. Angerpointner Tags: Special Department Source Type: journals

Gastric Foveolar Cell Hyperplasia and its Role in Postoperative Vomiting in Patients with Infantile Hypertrophic Pyloric StenosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Eur J Pediatr SurgDOI: 10.1055/s-2008-1039199Abstract Foveolar cell hyperplasia (FCH) has been reported as a rare cause of persistent gastric outlet obstruction in patients with infantile hypertrophic pyloric stenosis (IHPS), which, if present, requires excision of the gastric foveolar folds to resolve the persistent obstruction. This is a review of patients with IHPS diagnosed on abdominal ultrasound to determine the incidence of FCH in IHPS and to evaluate whether it has a causal role in postoperative vomiting following pyloromyotomy for IHPS. The ultrasound images of all children presenting with suspected IHPS to our in...
Source: European Journal of Pediatric Surgery - February 27, 2009 Category: Surgery Tags: Original Article Source Type: journals

Hypertrophic Pyloric Stenosis in an AdolescentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Journal of Laparoendoscopic & Advanced Surgical Techniques , Vol. 0, No. 0: 1-2. (Source: Journal of Laparoendoscopic)
Source: Journal of Laparoendoscopic - February 26, 2009 Category: Surgery Tags: article Source Type: journals

Double-Y Pyloromyotomy: A New Technique for the Surgical Management of Infantile Hypertrophic Pyloric StenosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Eur J Pediatr Surg 2009; 19: 17-20DOI: 10.1055/s-2008-1039025Abstract Many innovations and approaches have been tried for the surgical management of infantile hypertrophic pyloric stenosis (IHPS) since Ramstedt's first successful surgery almost one hundred years ago. We define here a new technique focusing on the pylorus which may offer better results for this common condition. A prospective study of 40 patients with infantile hypertrophic pyloric stenosis was carried out over a period of 3 years, from January 2005 to January 2008. The patients were divided into 2 equal groups of 20 patients each. The study was designed th...
Source: European Journal of Pediatric Surgery - February 17, 2009 Category: Surgery Tags: Original Article Source Type: journals

Keyhole surgery offers pyloric stenosis benefitsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A laparoscopic, keyhole approach to correct pyloric stenosis can have advantages over open surgery in infants, a trial published in The Lancet suggests. (Source: MedWire News - Gastroenterology)
Source: MedWire News - Gastroenterology - February 2, 2009 Category: Gastroenterology Source Type: news

Rapid correction of metabolic alkalosis in hypertrophic pyloric stenosis with intravenous cimetidine: preliminary resultsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion  Intravenous CM administration can rapidly normalize severe metabolic alkalosis in HPS patients. As a result, pyloromyotomy can be performed sooner reducing both hospital stay and costs. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00383-009-2335-9Authors Behrouz Banieghbal, University of the Witwatersrand Division of Pediatric Surgery PO Box 5042 Cresta Johannesburg 2118 South Africa Journal Pediatric Surgery InternationalOnline ISSN 1437-9813Print ISSN 0179-0358 (Source: Pediatric Surgery International)
Source: Pediatric Surgery International - January 24, 2009 Category: Surgery Tags: Pediatric surgery International Source Type: journals

Laparoscopic Seromyotomy for Long Stenosis After Sleeve Gastrectomy with or Without Duodenal SwitchEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion  Laparoscopic seromyotomy after SG for long stenosis is feasible, and efficient for the treatment of symptomatic dysphagia. It has a beneficiary influence on de novo GERD symptoms improvement. There is, however, the risk of postoperative leak. Content Type Journal ArticleCategory New ConceptsDOI 10.1007/s11695-009-9803-0Authors Giovanni Dapri, Saint-Pierre University Hospital Department of Gastrointestinal Surgery, European School of Laparoscopic Surgery 322 rue Haute 1000 Brussels BelgiumGuy Bernard Cadière, Saint-Pierre University Hospital Department of Gastrointestinal Surgery, European S...
Source: Obesity Surgery - January 24, 2009 Category: Surgery Tags: Obesity surgery Source Type: journals

For Children With Pyloric Stenosis, Laparoscopic Technique Has Advantages Over Open SurgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The use of small, laparoscopic equipment to correct pyloric stenosis in newborn children has advantages over open surgery - but the laparoscopic technique should only be performed in centres with the required level of expertise. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - January 18, 2009 Category: Consumer Health News Tags: Pediatrics / Children's Health Source Type: news

Laparoscopic Repair of Pediatric Pyloric Stenosis May Speed RecoveryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
LONDON (MedPage Today) -- Laparoscopic surgery for children with pyloric stenosis may be just as safe as open pyloromyotomy, with some additional outcome advantages, researchers found. (Source: MedPage Today Surgery)
Source: MedPage Today Surgery - January 16, 2009 Category: Surgery Source Type: news

The innovation of success: the pediatric surgery and APSA response to “disruptive technologies”Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In 1907, just more than 100 years ago, a landmark paper described the work of French surgeon Pierre Fredet as he defined the operation for hypertrophic pyloric stenosis , a technique that has firmly withstood the test of time in providing an optimal outcome for these patients. It was a remarkable innovation at that time, “a new intervention, not yet accepted as meeting the standards of safety, reliability and familiarity with its effects, side effects and complications” . In fact, it could more explicitly have been labeled as a “disruptive technology” or “revolutionary technology,” that introduced into our oper...
Source: Journal of Pediatric Surgery - January 1, 2009 Category: Surgery Authors: Moritz M. Ziegler Tags: Presidential Address Source Type: journals

Surgeon-performed ultrasound for diagnosis of pyloric stenosis is accurate, reproducible, and clinically valuableEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Surgeon-performed ultrasound examination for the diagnosis of HPS is accurate and reproducible through surgeon-to-surgeon instruction on appropriate technique. This skill is a valuable asset in the initial surgical evaluation of any patient with suspected HPS, expediting appropriate management. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - January 1, 2009 Category: Surgery Authors: Marcene R. McVay, Daniel R. Copeland, Lisa E. McMahon, Graham H. Cosper, Theresa G. McCallie, Evan R. Kokoska, Richard J. Jackson, Samuel D. Smith Tags: APSA Papers Source Type: journals

Access to the Hypertrophic Pylorus: Does It Make a Difference to the Patient?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Eur J Pediatr SurgDOI: 10.1055/s-2008-1039006Abstract The aim of the study was to evaluate the effects of different access methods for the treatment of pyloric stenosis (PS). Since 2001, we have operated on children with PS using three different access methods: classic right upper quadrant transverse incision (TI), incision on the superior umbilical fold (UI) and laparoscopic (L). We reviewed the records of these children with special emphasis on the number and characteristics of complications, operative time, and length of stay (LOS). We identified 256 patients (212 M, 44 F) with a mean age of 36 days. 138 pro...
Source: European Journal of Pediatric Surgery - December 9, 2008 Category: Surgery Tags: Original Article Source Type: journals

Intermittent Wound Perfusion for Postoperative Pain Relief Following Upper Abdominal Surgery: A Surgeon's PerspectiveEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Intermittent wound perfusion with 0.25% bupivacaine is a safe and efficient method to reduce pain scores and opioid requirement in the early postoperative period. Wound perfusion, however, had no beneficial effect on the postoperative respiratory function. (Source: Pain Practice)
Source: Pain Practice - November 4, 2008 Category: Anesthesiology Authors: Sarath Chandra Sistla, Amul Kumar Sibal, M Ravishankar Source Type: journals

Prevalence of infantile hypertrophic pyloric stenosis in Texas, 1999-2002Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: This study confirmed previous findings that female infants and Black infants have a lower rate of IHPS. Large decreases in rates of IHPS were observed among foreign-born Hispanics and foreign-born Asians, but not among their US-born counterparts. These findings may be explained by differences in the frequency of behavioral risk factors for IHPS or differences in the frequency of ascertainment of mild cases of IHPS by ethnicity or nativity. Birth Defects Research (Part A), 2008. © 2008 Wiley-Liss, Inc. (Source: Birth Defects Research Part A: Clinical and Molecular Teratology)
Source: Birth Defects Research Part A: Clinical and Molecular Teratology - November 4, 2008 Category: Perinatology & Neonatology Authors: Jing Wang, D. Kim Waller, Lu-Yu Hwang, Lockwood G. Taylor, Mark A. Canfield Source Type: journals

Predictors of emesis and time to goal intake after pyloromyotomy: analysis from a prospective trialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The degree of hypochloremic, hypokalemic, metabolic alkalosis on presentation strongly correlates to the number of episodes of postoperative emesis and time to goal feeds in patients undergoing pyloromyotomy for pyloric stenosis. Furthermore, the corresponding duration of dehydration and failure to thrive appears to correlate with outcomes as there was a significant inverse correlation with weight on admission to the number of episodes of postoperative emesis and time to goal feeds. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - October 30, 2008 Category: Surgery Authors: Shawn D. St. Peter, Kuojen Tsao, Susan W. Sharp, George W. Holcomb, Daniel J. Ostlie Tags: Original Articles Source Type: journals

Annular pancreas causing localized recurrent pancreatitis in a child: Report of a caseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of relapsing acute pancreatitis localized in the annulus of an annular pancreas in a young child. A 6-year-old boy complained of abdominal pain and we made a diagnosis of acute pancreatitis based on blood biochemistry results. Over the subsequent 12 months, he experienced two more pancreatitis-like attacks. Endoscopy revealed a duodenal stenosis in the second portion of the duodenum. Ultrasound, computed tomography, and magnetic resonance imaging depicted a ring of pancreatic tissue encircling the duodenum with a duct in the tissue, manifesting dilatation with a characteristic circular pattern around ...
Source: Surgery Today - October 29, 2008 Category: Surgery Tags: surgery Today Source Type: journals

Circumumbilical pyloromyotomy in the era of minimally invasive surgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Overall satisfaction with the cosmetic outcome of circumumbilical pyloromyotomy is very high. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - October 1, 2008 Category: Surgery Authors: Denis A. Cozzi, Silvia Ceccanti, Ermelinda Mele, Simone Frediani, Giorgia Totonelli, Francesco Cozzi Tags: Original Articles Source Type: journals

Gastric outlet obstruction in children: an overview with report of “Jodhpur disease” and Sharma's classificationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: These patients represent a new disease entity designated as primary acquired gastric outlet obstruction during infancy and childhood. Author's classification is complete and scientific, encompassing all rare causes of GOO. We nickname this idiopathic variety of GOO the Jodhpur disease, the place of the first cases. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - October 1, 2008 Category: Surgery Authors: Kamlesh Kumar Sharma, Pankaj Ranka, Pushpa Goyal, D.R. Dabi Tags: Reviews Source Type: journals

Comparison of laparoscopic truncal vagotomy with gastrojejunostomy and open surgery in peptic pyloric stenosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions  This study suggests that LTVGJ is a feasible technique, and intermediate follow-up reveals good symptomatic results when used for PPS. Content Type Journal ArticleDOI 10.1007/s00464-008-0160-1Authors Seok-Mo Kim, Yonsei University College of Medicine Department of Surgery 134 Shinchon-dong Seodaemun-ku Seoul 120-752 South KoreaJyewon Song, Yonsei University College of Medicine Department of Surgery 134 Shinchon-dong Seodaemun-ku Seoul 120-752 South KoreaSung Jin Oh, Yonsei University College of Medicine Department of Surgery 134 Shinchon-dong Seodaemun-ku Seoul 120-752 South KoreaWoo Jin Hy...
Source: Surgical Endoscopy - September 24, 2008 Category: Surgery Tags: surgical Endoscopy Source Type: journals