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Infantile Hypertrophic Pyloric Stenosis 371

Key Summary Points
1. Infantile hypertrophic pyloric stenosis affects infants 2–8 weeks 4. The disease can be self-limiting, but the infant would succumb
of age, often presenting with repeated vomiting. to dehydration and electrolyte imbalance if not treated.
2. Although the disease may not be common in African children, 5. Care should be taken to correct any fluid and electrolyte
practitioners may encounter the condition. depletion before embarking on any surgical correction.
3. The aetiology is not clear, but pyloric muscle hypertrophy 6. Extramucosal pyloromyotomy, introduced about a century ago,
leading to mechanical obstruction of the pylorus is the endpoint. still remains the gold standard for surgical management of IHPS.

References

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