๐”– Bobbio Scriptorium
โœฆ   LIBER   โœฆ

reliable sonographic diagnosis of hypertrophic pyloric stenosis

โœ Scribed by Don A. Wilson; Jean J. Vanhoutte


Publisher
John Wiley and Sons
Year
1984
Tongue
English
Weight
320 KB
Volume
12
Category
Article
ISSN
0091-2751

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โœฆ Synopsis


Fifty-five infants who presented to the Oklahoma Children's Memorial Hospital with vomiting and the clinical suspicion of hypertrophic pyloric stenosis (HPS) were evaluated using real-time ultrasound. Previously published criteria for the sonographic diagnosis of HPS were evaluated in these patients. The anterposterior diameter measurement of 1.5 cm or greater proposed by Strauss et al. had an accuracy of 36/50 (72%). The 4-mm or greater wall thickness measurement of Blumhagen et al. was correct in 46/50 (92%) of cases. A proposed criterion, the true pyloric muscle (TPM) length of 2.0 cm or greater was accurate in 33/33 cases. Application of the TPM length criterion should improve the reliability of sonographic diagnosis of HPS and decrease the need for radiographic studies. Indexing Words: Pylorus Pyloric stenosis * U1- trasound technique -Ultrasound, in infants and children


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