J Korean Assoc Pediatr Surg.  2011 Jun;17(1):88-92.

Hypertrophic Pyloric Stenosis Occurring in Fasting State with Gastrostomy After Surgery for Esophageal Atresia with Tracheoesophageal Fistula

• Jung E
• Choi SO
• Park WH

Abstract

The onset of hypertrophic pyloric stenosis in the postoperative course of esophageal atresia with tracheoesophageal fistula is rarely reported. The diagnosis could be delayed due to its mimicking symptoms of other postoperative complications including gastroesophageal reflux or anastomotic stricture. We present an infant who had surgery for esophageal atresia with tracheoesophageal fistula. He had never fed since birth. The infant presented with an increased amount of orogastric tube drainage and consistently distended gastric air on simple abdominal X-ray. Abdominal ultrasonography showed hypertrophic thick pyloric muscle. The diagnosis of pyloric stenosis was confirmed d is rarely reported. The diagnosis could be delayed due to its mimicking symptoms of other postoperative complications including gastroesophageal reflux or anastomotic stricture. We present an infant who had surgery for esophageal atresia with tracheoesophageal fistula. He had never fed. The infant presented with uring surgery. After pyloromyotomy, the patient's condition improved.

Keyword

Hypertrophic pyloric stenosis; Esophageal atresia; Tracheoesophageal fistula; Fasting

MeSH Terms

Constriction, Pathologic
Drainage
Esophageal Atresia
Fasting
Gastroesophageal Reflux
Gastrostomy
Humans
Infant
Muscles
Parturition
Postoperative Complications
Pyloric Stenosis
Pyloric Stenosis, Hypertrophic
Tracheoesophageal Fistula