WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Dr. Mohammed Shamil Younis Khayyat*, Dr. Majid Khalid Ali and Dr. Ranaa Nafei Majeed

ABSTRACT

Objective: To review the age presentation, diagnostic modality and treatment of infants with infantile hypertrophic pyloric stenosis with special concentration on role of ultra sound in early diagnosis & decreasing morbidity. Patients and Method: Prospective case series study in Department of pediatric surgery, Al-Khanssa Teaching Hospital, Mosul, Iraq from June 2017 to October 2020. The study included 49 patients with infantile hypertrophic pyloric stenosis, infantile age group with non- bilious vomiting. surgical procedure by Ramstedt pyloromyotomy operation through supra umbilical right transverse incision with muscle cutting,an incision is then made over the antero- superior part of the pyloric mass, the pyloric muscle is then widely split down to the mucosa. Results: Two patients (4.08%) was presented early in the first week of life, while 7 (14.2%) patients were delayed after age of 16 weeks, the remaining 40(81.6%) presented within usual age presentation between 2-12 weeks. Mild to moderate dehydration encountered in 21(42.8%) patients while severe dehydration occur in 5(10.2%). Palpable olive mass were positive in 22(44.8%) patients, clinically 5 (10.2%) patients operated without need to radiological evaluation, ultra sound were positive in 39(90.5%) of patients, in 8(16.3%) patients barium study need to confirm diagnosis, mucosal perforation occur in 4(8.1%) patient, wound infection occur in 36.1%) patients. Conclusion: IHPS is still a common condition affecting infants. Doctors should have high index of suspicion in infants with non-bilious vomiting, to avoid delay in diagnosis. The majority of cases will now be diagnosed with ultrasound.