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==Overview ==
==Overview ==
The hallmark of infantile pyloric stenosis is progressively worsening [[Nausea and vomiting|vomiting]] within the first few weeks to months of life.The [[Nausea and vomiting|vomiting]] is often described as non-[[bile]] stained and "projectile [[Nausea and vomiting|vomiting]]", because it is more forceful than the usual spittiness ([[gastroesophageal reflux]]) seen at this age.
The hallmark of infantile pyloric stenosis is progressively worsening [[Nausea and vomiting|vomiting]] within the first few weeks to months of life. A positive history of bottle feeding and [[Caesarean section|cesarean section]] delivery is suggestive of infantile pyloric stenosis. The most common symptoms of infantile pyloric stenosis include [[vomiting]], [[belching]], persistent hunger. Less common symptoms of infantile pyloric stenosis include failure to gain weight or [[weight loss]], j[[Jaundice|aundice]], l[[Lethargy|ethargy]] and [[decreased urine output]]. The hallmark of adult type pyloric stenosis is progressively worsening projectile [[Nausea and vomiting|vomiting]]. A positive history of chronic [[peptic ulcers]] and [[fibrosis]] near the [[gastric]] outlet is suggestive of adult type pyloric stenosis. The most common symptoms of adult type pyloric stenosis include [[vomiting]] with occasional relief after vomiting, [[belching]], [[Abdominal pain|epigastric pain]]. Less common symptoms of adult type pyloric stenosis include [[Failure to thrive|failure to gain weight]] or [[weight loss]] and symptoms of [[dehydration]] like increased [[thirst]], [[dry mouth]] and [[decreased urine output]].
 
Other most common symptoms of infantile pyloric stenosis include [[belching]], persistent hunger,symptoms of [[dehydration]] (gets worse with the severity of the [[vomiting]] and [[diarrhea]]), failure to gain weight or [[weight loss]], [[jaundice]], [[lethargy]] and [[decreased urine output]].


==History and Symptoms of infantile pyloric stenosis==
==History and Symptoms of infantile pyloric stenosis==
* The hallmark of infantile pyloric stenosis is progressively worsening [[Nausea and vomiting|vomiting]] within the first few weeks to months of life.The [[Nausea and vomiting|vomiting]] is often described as non-[[bile]] stained and "projectile [[Nausea and vomiting|vomiting]]", because it is more forceful than the usual spittiness ([[gastroesophageal reflux]]) seen at this age.   
* The hallmark of infantile pyloric stenosis is progressively worsening [[Nausea and vomiting|vomiting]] within the first few weeks to months of life.<ref name="pmid7039756" />
The most common symptoms of infantile pyloric stenosis include [[vomiting]], [[belching]], persistent hunger, failure to gain weight or [[weight loss]], j[[Jaundice|aundice]], l[[Lethargy|ethargy]], [[Decreased urine output]].
* The [[Nausea and vomiting|vomiting]] in infantile pyloric stenosis is often non-[[bile]] stained and projectile.<ref name="pmid7039756">{{cite journal| author=Spicer RD| title=Infantile hypertrophic pyloric stenosis: a review. | journal=Br J Surg | year= 1982 | volume= 69 | issue= 3 | pages= 128-35 | pmid=7039756 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7039756  }} </ref>
* A positive history of bottle feeding and [[Caesarean section|cesarean section]] delivery is suggestive of infantile pyloric stenosis.<ref name="pmid28318599">{{cite journal| author=Zhu J, Zhu T, Lin Z, Qu Y, Mu D| title=Perinatal risk factors for infantile hypertrophic pyloric stenosis: A meta-analysis. | journal=J Pediatr Surg | year= 2017 | volume= 52 | issue= 9 | pages= 1389-1397 | pmid=28318599 | doi=10.1016/j.jpedsurg.2017.02.017 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28318599 }} </ref>
* The most common symptoms of infantile pyloric stenosis include [[vomiting]], [[belching]], persistent [[hunger]].
* Less common symptoms of infantile pyloric stenosis include failure to gain weight or [[weight loss]], [[jaundice]], [[lethargy]] and [[decreased urine output]].


=== History ===
=== History ===
Patients with pyloric stenosis may have a positive history of:
Patients with infantile pyloric stenosis may have a positive history of:<ref name="pmid28318599">{{cite journal| author=Zhu J, Zhu T, Lin Z, Qu Y, Mu D| title=Perinatal risk factors for infantile hypertrophic pyloric stenosis: A meta-analysis. | journal=J Pediatr Surg | year= 2017 | volume= 52 | issue= 9 | pages= 1389-1397 | pmid=28318599 | doi=10.1016/j.jpedsurg.2017.02.017 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28318599  }} </ref><ref name="pmid26905846">{{cite journal| author=Nordeng S, Nordeng H, Høye S| title=[Use of antibiotics during pregnancy]. | journal=Tidsskr Nor Laegeforen | year= 2016 | volume= 136 | issue= 4 | pages= 317-21 | pmid=26905846 | doi=10.4045/tidsskr.15.0451 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26905846  }} </ref>
* Bottle feeding
* Bottle feeding
* [[Caesarean section|Cesarean section]] delivery
* [[Caesarean section|Cesarean section]] delivery
*Exposure to drugs during pregnancy
**[[Macrolides]]
**[[Nitrofurantoin]]
**[[Penicillins]]
**[[Trimethoprim-sulfamethoxazole]]


=== Common Symptoms ===
=== Common Symptoms ===
Common symptoms of [disease] include:
Common symptoms of infantile pyloric stenosis include:<ref name="pmid24586444">{{cite journal| author=Feng Z, Nie Y, Zhang Y, Li Q, Xia H, Gong S et al.| title=The clinical features of infantile hypertrophic pyloric stenosis in Chinese Han population: analysis from 1998 to 2010. | journal=PLoS One | year= 2014 | volume= 9 | issue= 2 | pages= e88925 | pmid=24586444 | doi=10.1371/journal.pone.0088925 | pmc=3929628 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24586444  }} </ref>
* [[Vomiting]]
* [[Vomiting]]
* [[Belching]]
* [[Belching]]
Line 24: Line 30:


=== Less Common Symptoms ===
=== Less Common Symptoms ===
Less common symptoms of [disease name] include
Less common symptoms of infantile pyloric stenosis include:<ref name="pmid24586444" />
* Failure to gain weight or [[weight loss]]
* Failure to gain weight or [[weight loss]]
* J[[Jaundice|aundice]]
* [[Jaundice|Jaundice]]
* L[[Lethargy|ethargy]]
* [[Lethargy|Lethargy]]
* [[Decreased urine output]]
* [[Decreased urine output]]


== history and symptoms of adult type pyloric stenosis ==
== History and symptoms of adult type pyloric stenosis ==
The hallmark of adult type pyloric stenosis is progressively worsening [[Nausea and vomiting|vomiting]].
*The hallmark of adult type pyloric stenosis is progressively worsening projectile [[Nausea and vomiting|vomiting]].<ref name="pmid15410298">{{cite journal| author=NORTH JP, JOHNSON JH| title=Pyloric hypertrophy in the adult. | journal=Ann Surg | year= 1950 | volume= 131 | issue= 3 | pages= 316-29 | pmid=15410298 | doi= | pmc=1616429 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15410298  }} </ref>
*A positive history of chronic [[peptic ulcers]] and [[fibrosis]] near the gastric outlet is suggestive of adult type pyloric stenosis.
*The most common symptoms of adult type pyloric stenosis include [[vomiting]] with occasional relief after [[Nausea and vomiting|vomiting]], [[belching]], [[Abdominal pain|epigastric pain]].
*Less common symptoms of adult type pyloric stenosis include [[weight loss]] and symptoms of dehydration like increased thirst, dry mouth and decreased urine output.
=== History ===
Patients with adult type pyloric stenosis may have a positive history of:
*Chronic [[peptic ulcers]]
*[[Fibrosis]] near the gastric outlet
 
=== Common Symptoms ===
Common symptoms of adult type pyloric stenosis include:<ref name="pmid15410298" />
* [[Vomiting]] with occasional relief after [[Nausea and vomiting|vomiting]]
* [[Belching]]
* [[Abdominal pain|Epigastric pain]]


Common symptoms of adult type pyloric stenosis include:
=== Less Common Symptoms ===
* [[Epigastric pain]]
Less common symptoms of adult type pyloric stenosis include:<ref name="pmid15410298" />
* [[Nausea and vomiting|Vomiting]] with occasional relief after [[Nausea and vomiting|vomiting]]<ref name="pmid15410298">{{cite journal| author=NORTH JP, JOHNSON JH| title=Pyloric hypertrophy in the adult. | journal=Ann Surg | year= 1950 | volume= 131 | issue= 3 | pages= 316-29 | pmid=15410298 | doi= | pmc=1616429 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15410298  }} </ref>
* [[Weight loss]]
* Symptoms of dehydration including:
** Increased thirst
** Dry mouth
** Decreased urine output


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
[[Category:Needs content]]
[[Category:Gastroenterology]]
[[Category:Surgery]]


{{WH}}
{{WH}}
{{WS}}
{{WS}}
[[Category:Surgery]]
[[Category:Gastroenterology]]
[[Category:Disease]]
[[Category:Pediatrics]]
[[Category:Up-To-Date]]

Latest revision as of 16:43, 11 December 2017

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XEditor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D.[2]

Overview

The hallmark of infantile pyloric stenosis is progressively worsening vomiting within the first few weeks to months of life. A positive history of bottle feeding and cesarean section delivery is suggestive of infantile pyloric stenosis. The most common symptoms of infantile pyloric stenosis include vomiting, belching, persistent hunger. Less common symptoms of infantile pyloric stenosis include failure to gain weight or weight loss, jaundice, lethargy and decreased urine output. The hallmark of adult type pyloric stenosis is progressively worsening projectile vomiting. A positive history of chronic peptic ulcers and fibrosis near the gastric outlet is suggestive of adult type pyloric stenosis. The most common symptoms of adult type pyloric stenosis include vomiting with occasional relief after vomiting, belching, epigastric pain. Less common symptoms of adult type pyloric stenosis include failure to gain weight or weight loss and symptoms of dehydration like increased thirst, dry mouth and decreased urine output.

History and Symptoms of infantile pyloric stenosis

History

Patients with infantile pyloric stenosis may have a positive history of:[2][3]

Common Symptoms

Common symptoms of infantile pyloric stenosis include:[4]

Less Common Symptoms

Less common symptoms of infantile pyloric stenosis include:[4]

History and symptoms of adult type pyloric stenosis

  • The hallmark of adult type pyloric stenosis is progressively worsening projectile vomiting.[5]
  • A positive history of chronic peptic ulcers and fibrosis near the gastric outlet is suggestive of adult type pyloric stenosis.
  • The most common symptoms of adult type pyloric stenosis include vomiting with occasional relief after vomiting, belching, epigastric pain.
  • Less common symptoms of adult type pyloric stenosis include weight loss and symptoms of dehydration like increased thirst, dry mouth and decreased urine output.

History

Patients with adult type pyloric stenosis may have a positive history of:

Common Symptoms

Common symptoms of adult type pyloric stenosis include:[5]

Less Common Symptoms

Less common symptoms of adult type pyloric stenosis include:[5]

  • Weight loss
  • Symptoms of dehydration including:
    • Increased thirst
    • Dry mouth
    • Decreased urine output

References

  1. ↑ 1.0 1.1 Spicer RD (1982). "Infantile hypertrophic pyloric stenosis: a review". Br J Surg. 69 (3): 128–35. PMID 7039756.
  2. ↑ 2.0 2.1 Zhu J, Zhu T, Lin Z, Qu Y, Mu D (2017). "Perinatal risk factors for infantile hypertrophic pyloric stenosis: A meta-analysis". J Pediatr Surg. 52 (9): 1389–1397. doi:10.1016/j.jpedsurg.2017.02.017. PMID 28318599.
  3. ↑ Nordeng S, Nordeng H, Høye S (2016). "[Use of antibiotics during pregnancy]". Tidsskr Nor Laegeforen. 136 (4): 317–21. doi:10.4045/tidsskr.15.0451. PMID 26905846.
  4. ↑ 4.0 4.1 Feng Z, Nie Y, Zhang Y, Li Q, Xia H, Gong S; et al. (2014). "The clinical features of infantile hypertrophic pyloric stenosis in Chinese Han population: analysis from 1998 to 2010". PLoS One. 9 (2): e88925. doi:10.1371/journal.pone.0088925. PMC 3929628. PMID 24586444.
  5. ↑ 5.0 5.1 5.2 NORTH JP, JOHNSON JH (1950). "Pyloric hypertrophy in the adult". Ann Surg. 131 (3): 316–29. PMC 1616429. PMID 15410298.

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