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KMID : 0374019860090040239
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Ewha Medical Journal
1986 Volume.9 No. 4 p.239 ~ p.245
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Clinical Analysis of Congenital Hypertrophic Pyloric Stenosis
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Abstract
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Fifteen infants with congenital hypertrophic pyloric stenosis who underwent pyloromyotomy at Dept. of Surgery, Ewha Womans Univ. Hospital for 5 years from Sept. 1981 to Aug. 1986, have been reviewed.
"i The results were as follows.
1) Infants with congenital hypertrophic pyloric stenosis were 1.6% of the total pediatric surgical patients.
2) Eleven cases were male and 4 cases were ´female. A ratio of male to female was 2.8:1.
3) The age distribution was 11 cases ( 73.3%) between 4 and 6 weeks.
4) The distribution of birth rank in siblings was 7 cases of first-born infants and 8 cases of second - born infants.
5) The distribution of type of feeding was 7 cases of breast-fed infants and 6 cases of cow milk-fed ´infants.
6) The seasonal distribution was 6 cases in Winter, 5 cases in Spring, and each eases in Summer and Autumn.
7) The number of cases associated with the other congenital anomalies was 3 cases.
8) Non bile-stained projectile vomiting was the most prominant symptom and onset time was mostly between 3 and 5 weeks.
9) The pathognomonic olive shaped mass was palpable in 11 cases and the size of mass was average 2.4 xl. 4cm.
10) The results of Ramstedt pyloromyotomy or Koop % modification was excellent without operative faults.
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