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논문 기본 정보

자료유형
학술저널
저자정보
김인구 (대한소아외과학회) 김상윤 (대한소아외과학회) 김신곤 (대한소아외과학회) 김우기 (대한소아외과학회) 김재억 (대한소아외과학회) 김재천 (대한소아외과학회) 김현학 (대한소아외과학회) 박귀원 (대한소아외과학회) 박영식 (대한소아외과학회) 박우현 (대한소아외과학회) 송영택 (대한소아외과학회) 양정우 (대한소아외과학회) 오수명 (대한소아외과학회) 유수영 (대한소아외과학회) 이두선 (대한소아외과학회) 이명덕 (대한소아외과학회) 이석구 (대한소아외과학회) 이성철 (대한소아외과학회) 장수일 (대한소아외과학회) 정상영 (대한소아외과학회)
저널정보
대한소아외과학회 Journal of the Korean Association of Pediatric Surgeons : JKAPS Journal of the Korean Association of Pediatric Surgeons : JKAPS 제4권 제2호
발행연도
1998.1
수록면
149 - 155 (7page)

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Thirty three members of the Korean Association of Pediatric Surgeons were surveyed to determine the clinical manifestations and current management of infantile hypertrophic pyloric stenosis (IHPS). The members completed a registration form and a questionnaire that indicated their treatment preferences for patients treated during 1996. The response rate was 84.8 %, and 23 institutions participated. Three hundred and sixty-three cases of IHPS were analysed. The male to female ratio was 5.15: 1. The presenting symptoms were nonbilious vomiting in 363 cases(100 %), palpable mass in the upper abdomen in 200 cases (55.1 %) and visible peristaltic waves in 67 cases(18.5 %). Fluid therapy was done in 161 cases(44.4 %) for preoperative preparation. Twenty patients(5.5 %) were premature. There were 27 low birth weight babies(7.7 %). The onset of symptoms ranged from 1 to 14 weeks of age with a peak occurrence at 2 to 4 weeks of age. Two hundred and thirty-six cases(66.6 %) presented within 4 weeks of age. There was one set of male twins and a family history of twins. The modes of feedings were: breast feeding; 69 cases(24.5 %), formula feeding; 176 cases(62.4 %) and mixed feeding; 37 cases(13.1 %). The preferred diagnostic modalities were ultrasonography (US) 229 cases(63.1 %), UGI series 27 cases(7.4%) and US and UGI series combined 86 cases(23.7 %). Only 21 cases(5.8 %) were operated on without imaging study, ie. with positive physical finding. Perforation of the mucosa during pyloromytomy occurred in 5 cases. All were treated successfully with primary closure. Persistent vomiting over 2 weeks after operation were reported in 5 cases. Three wound infections, one aspiration pneumonia and one postoperative bleeding were reported. There was no mortality in 363 cases.

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