Congenital Pyloric Atresia and Associated Anomalies: A Case Series

Authors

  • Rahul Gupta Department of Paediatric Surgery ,SPMCHI, SMS hospital, Jaipur.
  • Varsha Soni
  • Praveen Mathur
  • RamBabu Goyal

DOI:

https://doi.org/10.47338/jns.v2.52

Keywords:

Pyloric atresia, Epidermolysis bullosa, pyloric diaphragm, Heineke–Mickulicz pyloroplasty

Abstract

Congenital pyloric atresia (CPA) is a very rare surgical condition. Eleven patients with the diagnosis of CPA treated at our hospital were retrospectively studied for the age at diagnosis, sex, presenting symptoms, associated anomalies, operative findings, treatment and outcome. Male: Female is 8:3. The age at diagnosis ranged from one day to three years. Associated anomalies were seen in four (36.6%). These included epidermolysis bullosa (EB) in two, oesophageal atresia with distal trachea-oesophageal fistula in one, colonic atresia in one, sensorineural deafness and dysplastic kidney in one patient. All three types of CPA were observed; six (54.5%) had type 1, four (36.3%) had type 2 and one (9%) had type 3 [(core)]. Different procedures performed were Heineke–Mickulicz pyloroplasty, Finney's pyloroplasty and gastro-duodenostomy. Post-operatively, nine out of eleven did well while other two died giving an overall survival of 81.8%. Sepsis was the cause of death in both of them.

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Author Biography

Rahul Gupta, Department of Paediatric Surgery ,SPMCHI, SMS hospital, Jaipur.

Resident,Department of Paediatric Surgery ,SPMCHI, SMS hospital, Jaipur.

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Published

2013-09-24

How to Cite

1.
Gupta R, Soni V, Mathur P, Goyal R. Congenital Pyloric Atresia and Associated Anomalies: A Case Series. J Neonatal Surg [Internet]. 2013Sep.24 [cited 2021Jan.16];2(4):40. Available from: https://www.jneonatalsurg.com/ojs/index.php/jns/article/view/52

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