Congenital hypertrophic pyloric stenosis is at present, one of the most
common surgically treated diseases in the first months of life. It is gener
ally agreed that the diagnosis of this condition depends mainly on barium
meal study with its own potential risks. In this study we tried to employ
abdominal idtra-sonography as a diagnostic non - invasive test for such
condition in these fragile babies. 28 cases of congenital hypertrophic py
loric stenosis were subjected to pre-operative ultrasonographic measure
ment of the transverse diameter of the pyloric mass and the length of the
pyloric caned in (mm). Intra-operatively and prior to pyloromyotomy, the
transverse diameter of the pyloric mass and the length of the pyloric ca
nal were also measured in (mm). Pyloromyotomy was done for all cases.
The pre- operative ultrasonographic and intra- operative measurements
showed a good statistical correlationfor each of the pyloric length and py
loric diameter. Complications occurred in 5 cases with no mortcdity.Ultra-
_ sonography may replace contrast radiographs in the diagnosis of the con
dition and can be used as a simple screening test for all babies with vom
iting in their early weeks of life. |
