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KMID : 0367419650080020015
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Journal of Korean Pediatric Society
1965 Volume.8 No. 2 p.15 ~ p.23
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Congenital Hypertrophic Pyloric Stenosis
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鄭性煥/Chung, Sung Whan
裵貞姬/金允華/李鴻烈/李思憲/Bai, Joung Hee/Kim, Yun Wha/Lee, Hong Yul/Lee, Sha Hun
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Abstract
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This report presents seven cases of Congenital Hvpertrophic Pyloric Stenosis, which were treated in the department of Pediatrics, S_. Mary´s Hospital during the past three years from April, 1962 to January, 1965.
Six cases were unequivocally demonstrated when pylorostor_.y(Fredet-Ramstedt method) was performed in the early stage of izfanc;-. and symptoms of stenosis completely disappeared after the operation. Attempt was made to treat one of them nonsurgicaliv as long as a month, but it was unsuccessful.
In all cases onset came ;within 2-6 weeks of age
when first symptoms of stenosis commonly appear.. Characterized projectile vomiting, hyperperistlitic waves and pyloric tumor were present in all cases, but fluoroscopy in one of them failed to demonstrate the characteristic X-ray findings.
Regardless of the difficulties to determine the way of treatment as well as the etiologic factors in this disease, relief of the pyloric obstruction by operation as soon as the diagnosis is established and metabolic imbalances are corrected seems to be the treatment of choice.
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KEYWORD
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