Critical review of the current medical literature shows lack of complete evaluation of the parameters of "medical decision making" in the sonographic diagnosis of infantile hypertrophic pyloric stenosis (IHPS). A computer program was specially written to calculate these parameters on three published
reliable sonographic diagnosis of hypertrophic pyloric stenosis
โ 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
No coin nor oath required. For personal study only.
โฆ 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
๐ SIMILAR VOLUMES
## Abstract **BACKGROUND:** The cause of infantile hypertrophic pyloric stenosis (IHPS) is poorly understood. This descriptive study of IHPS focuses on the effect of maternal nativity, maternal Hispanic ethnicity, subtypes of maternal Asian ethnicity, and the timing of the infant's surgery, that is