ON THE DIAGNOSIS OF CONGENITAL HYPERTROPHIC PYLORIC STENOSIS

Abstract

Currently, infants are sent to the hospital immediately when clinical manifestations occur, without the formation of a pronounced weight deficit. In this connection, it became necessary to develop non-invasive methods of confirming the diagnosis in the conditions of the admission department of the clinic, but at the same time having sufficient reliability. In recent years, with the use of endovideosurgery in the treatment of congenital pyloric stenosis, there has been a rapid adaptation of the patient in the postoperative period and early restoration of the function of the digestive tract, which leads to an early transfer from the intensive care department to the ward and a significantly decreased duration of inpatient treatment. Pyloromyotomy is the standard and effective surgical treatment for infants with congenital hypertrophic pyloric stenosis. The study included 82 infants who were admitted to the surgical department of the Pediatric Center, Sakha Republic (Yakutia) Hospital No. 1 - National Center of Medicine in 2010-2020 with the referral diagnosis of congenital hypertrophic pyloric stenosis. The diagnosis of malformation was started with less invasive methods (ultrasound of the pylorus and general X-ray of the abdominal cavity), the reliability of which in our study was 75 %. When a negative result was obtained during these studies in children with a clinical picture of hypertrophic pyloric stenosis, more complex diagnostic methods were prescribed: fibroesophagogastroscopy and barium sulfate passage. A clinical case of reoperation in an infant with congenital hypertrophic pyloric stenosis was considered.