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KMID : 0356919950290030379
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Korean Journal of Anesthesiology
1995 Volume.29 No. 3 p.379 ~ p.384
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The Analysis of Anesthetic Management of 156 Infants with Congenital Hypertrophic Pyloric Stenosis
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Abstract
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Congenital hypertrophic pyloric stenosis is one of the most common gastrointestinal abnormalities occurring in the first six months of life. Although the primary therapy for pyloric stenosis is surgical, it is essential to realize that pyloric
stenosis
is medical and not a surgical emergency. Preoperative preparation is the primary factor contributing to the low perioperative complication rates and the necessity to recognize fluid and electrolyte imbalance is the key to successful anesthetic
management. The anesthetic records of 156 infants with congenital hypertrophic pyloric stenosis were reviewed. Seventy-six per cent of the infants were male(i.e., 3 : 1 male to female ratio). Surgical correction was undertaken between age of 2
and
3
weeks, and the average weight of the infants at the time of surgery was 3.74±0.68 kg. All the infants received general anesthesia for the surgical procedure and assist respiration through the laryngeal mask airway was applied increasingly from
1992.
There were no perioperative deaths. (Korean J Anesthesiol 1995; 29: 379~384)
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