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영아 비후성 유문협착증 - 대한소아외과학회 정회원을 대상으로 한 전국조사

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Author(s)
김인구김상윤김신곤김우기김재억김재천김현학박귀원박영식박우현송영택양정우오수명유수영이두선이명덕이석구이성철장수일정상영정을삼정풍만최금자최순옥최승훈허영수홍정황의호
Keimyung Author(s)
Park, Woo HyunChoi, Soon Ok
Department
Dept. of Surgery (외과학)
Journal Title
소아외과
Issued Date
1998
Volume
4
Issue
2
Keyword
Infantile hypertrophic pyloric stenosis
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.
Alternative Title
Infantile Hypertrophic Pyloric Stenosis - A Survey by the Korean Association of Pediatric Surgeons -
Keimyung Author(s)(Kor)
박우현
최순옥
Publisher
School of Medicine
Citation
김인구 et al. (1998). 영아 비후성 유문협착증 - 대한소아외과학회 정회원을 대상으로 한 전국조사. 소아외과, 4(2), 149–155.
Type
Article
ISSN
1225-9047
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/36367
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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