18
Nov
Pyloric Stenosis Electrolytes. The typical age that symptoms become obvious is two to twelve weeks old. Pyloric stenosis is an uncommon condition in infants that blocks food from entering the small intestine. This is a case re affirming that infantile hypertrophic pyloric stenosis ihps can present with severe electrolyte abnormalities and can be a medical emergency as seen in this patient. Normally a muscular valve pylorus between the stomach and small intestine holds food in the stomach until it is ready for the next stage in the digestive process.
Pyloric stenosis is a narrowing of the opening from the stomach to the first part of the small intestine the pylorus. Recent investigations have demonstrated that the classic hypochloremic hypokalemic metabolic alkalosis of hypertrophic pyloric stenosis hps is not a common finding some have suggested a trend over time but none has investigated factors contributing to laboratory derangement such as duration of vomiting or patient age at presentation. The patient should not be operated on until there has been adequate fluid and electrolyte resuscitation. Pyloric stenosis is a medical emergency not a surgical emergency. Journal of pediatric surgery case reports 43. According to barash the infant should have normal skin turgor and the correction of the electrolyte imbalance should produce a sodium level that is 130 meq l a potassium.
In the chronic and subacute groups the changes were usually slight.
Pyloric stenosis is a medical emergency not a surgical emergency. Life threatening electrolyte abnormalities in pyloric stenosis. Normally a muscular valve pylorus between the stomach and small intestine holds food in the stomach until it is ready for the next stage in the digestive process. The patient should not be operated on until there has been adequate fluid and electrolyte resuscitation. In the chronic and subacute groups the changes were usually slight. The typical age that symptoms become obvious is two to twelve weeks old.