Clinical and epidemiological characteristics of hypertrophic pyloric stenosis in a hospital in Lima, Perú.

Objective: To determine clinical and epidemiological characteristics of hypertrophic pyloric stenosis in a hospital in Lima, Peru. Materials and Methods: A descriptive and retrospective study encompassing years 2013 to 2019 was performed in the Pediatric Surgery Service of San Bartolome Teaching Mot...

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Detalles Bibliográficos
Autores: Torres Guinand, Carlos Guillermo, Reque García , Armando
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:Perú
Institución:Colegio Médico del Perú
Repositorio:Acta Médica Peruana
Idioma:español
OAI Identifier:oai:amp.cmp.org.pe:article/2224
Acceso en línea:https://amp.cmp.org.pe/index.php/AMP/article/view/2224
Access Level:acceso abierto
Palabra clave:Estenosis hipertrófica de Píloro
Piloromiotomía
Píloro
Vómitos
Náuseas y vómitos posoperatorios
Perú
Pyloric Stenosis
Hipertrophic
Pyloromyotomy
Pylorus
Vomiting
Postoperative nauseas and vomiting
Descripción
Sumario:Objective: To determine clinical and epidemiological characteristics of hypertrophic pyloric stenosis in a hospital in Lima, Peru. Materials and Methods: A descriptive and retrospective study encompassing years 2013 to 2019 was performed in the Pediatric Surgery Service of San Bartolome Teaching Mother and Child Hospital. Data from clinical records of patients diagnosed with hypertrophic pyloric stenosis was collected. Results: Records from fifty-nine patients were obtained, 79% were male, 68.4% were first born, and their mean age was 31.3 ± 13.6 days. All patients (100 %) had vomit, 44.1% had abnormal abdominal movement, and only 35.6% had palpable pyloric olive. The average surgical correction time was 51.39 minutes, and the average hospital stay was 6.35 days, major complications occurred in 13.6% of all children, and the mortality rate was 3.4%. Conclusions: Early initiation of oral intake is important, as well as post-surgical managementin these patients, in order to reduce their in-hospital stay and the development of post-surgical ventilatory complications.