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Titolo:
Pyloromyotomy versus atropine sulfate for infantile hypertrophic pyloric stenosis
Autore:
Yamataka, A; Tsukada, K; Yokoyama-Laws, Y; Murata, M; Lane, GJ; Osawa, M; Fujimoto, T; Miyano, T;
Indirizzi:
Juntendo Univ, Sch Med, Dept Pediat Surg, Bunkyo Ku, Tokyo 1138421, Japan Juntendo Univ Tokyo Japan 1138421 Surg, Bunkyo Ku, Tokyo 1138421, Japan Tokyo Womens Med Univ, Sch Med, Daini Hosp, Dept Pediat, Tokyo, Japan Tokyo Womens Med Univ Tokyo Japan Daini Hosp, Dept Pediat, Tokyo, Japan
Titolo Testata:
JOURNAL OF PEDIATRIC SURGERY
fascicolo: 2, volume: 35, anno: 2000,
pagine: 338 - 341
SICI:
0022-3468(200002)35:2<338:PVASFI>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
ULTRASONIC FEATURES; MANAGEMENT; APPEARANCE;
Keywords:
infantile hypertrophic pyloric stenosis; pyloromyotomy; atropine sulfate;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Yamataka, A Juntendo Univ, Sch Med, Dept Pediat Surg, Bunkyo Ku, 2-1-1 Hongo, Tokyo 1138421, Japan Juntendo Univ 2-1-1 Hongo Tokyo Japan 1138421 1138421, Japan
Citazione:
A. Yamataka et al., "Pyloromyotomy versus atropine sulfate for infantile hypertrophic pyloric stenosis", J PED SURG, 35(2), 2000, pp. 338-341

Abstract

Purpose: Atropine sulfate (atropine) and pyloromyotomy were compared for managing infantile hypertrophic pyloric stenosis (IHPS). Methods: From 1996 to 1998, cases of IHPS treated surgically (pyloromyotomy; n = 20) or medically (atropine; n = 14) at separate institutions were compared retrospectively with regard to status on presentation, physical symptoms and signs, progress, and costs. Atropine was given orally, then intravenously if ineffective. Refractory cases were referred for pyloromyotomy. Results: All subjects were matched for clinical and physiological status on admission. Oral atropine alone was effective in 11 cases, was converted to intravenous atropine in 2 cases, and was terminated in 1 case because of hematemesis. Two cases were referred for pyloromyotomy. All pyloromyotomieswere successful. Atropine took on average, 2.6 days to take effect. The difference in time taken for normalization of pyloric muscle thickness between the 2 groups was not significant. Average time to return to full feeding was longer in the atropine group (P < .01). Costs were lower in the atropine group (P < .01). There were 2 wound infections in the pyloromyotomy group, but no adverse effects of atropine. There were no recurrences in either group. Conclusion: This study provides reasonable evidence to support a trial of atropine in IHPS. J Pediatr Surg 35:338-342. Copyright (C) 2000 by W.B. Saunders Company.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/12/20 alle ore 12:21:45