In 1887, Hirschsprung s accurate description of 2 cases of congenital pyloric stenosis had established the condition, as a distinct clinical entity.
Prior to 1907, gastroentrostomy was advocated and was attended by a mortality rate of about 50/.
In 1912 Ramstedt´ modified Fredet spyoric muscle splitting procedure for congenital pyloric stenosis,, leaving the gaping mucosa without suturing the circular muscle over it.
Ever since 1912, Fredet-Ramstedt pylprotnyotomy has been proved to be a procedure of choice for the congenital pyloric stenosis:
This is a review of ´clinical experience with 12 cases of congenital pyloric stenosis from May 1973, to July 1977.
Accurate preoperative diagnosis and correction of fluid and electrolyte imbalance are of utmost importance for, an early operation and recovery.
1) All 12 cases were boys and among them were 7 babies the firstborn.
2) Non-bile stained: projectile vomiting was noted in all 12 cases and coffee ground vomitus noted in 3 cases.
3) Onset of vomiting occurred from 2 weeks to 4 weeks in 6 cases and especially, after birth in 2 cases.
4) Visible gastric peristalsis was observed in 11 cases.
5) Olive shaped mass was felt in right upper quadrant of abdomen in, all cases:
All 12 cases were surgically treated with Fredet Ramstedt procedure, without perforation of the duodenum and discharged without recurrence and without any complication. A brief review of literature was made.
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