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영아 비후성 유문협착증

Other Titles
 Infantile Hypertrophic Pyloric Stenosis 
Authors
 김인구  ;  김상윤  ;  김신곤  ;  김우기  ;  김재억  ;  김재천  ;  김현학  ;  박귀원  ;  박영식  ;  박우현  ;  송영택  ;  양정우  ;  오수명  ;  유수영  ;  이두선  ;  이명덕  ;  이석구  ;  이성철  ;  장수일  ;  정상영  ;  정을삼  ;  정풍만  ;  최금자  ;  최순옥  ;  최승훈  ;  허영수  ;  홍정  ;  황의호 
Citation
 Journal of the Korean Association of Pediatric Surgeons (소아외과), Vol.4(2) : 149-155, 1998 
Journal Title
 Journal of the Korean Association of Pediatric Surgeons (소아외과) 
ISSN
 1225-9047 
Issue Date
1998
Abstract
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.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Choi, Seung Hoon(최승훈)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/176789
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