CORRELATION BETWEEN PRE-OPERATIVE SONOGRAPHY AND INTRA- OPERATIVE FINDINGS IN CONGENITAL HYPERTROPHIC PYLORIC STENOSIS
|Full paper||Not Available|
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.