Korean J Anesthesiol.  1995 Sep;29(3):379-384. 10.4097/kjae.1995.29.3.379.

The Analysis of Anesthetic Management of 156 Infants with Congenital Hypertrophic Pyloric Stenosis

• Seung IS
• Kim DW

• KMID: 2237847
• DOI: http://doi.org/10.4097/kjae.1995.29.3.379

Abstract

Congenital hypertrophic pyloric stenosis is one of the most common gasttointestinal abnonnalities occurring in the first six months of life. Although the primary therapy for pyloric stenosis is surgical, it is essential to realize that pyloric stenosis is medical and not a surgical emergency. Preoperative preparation is the primary factor contributing to the low perioperative complication rates and the necessity to recognize fluid and electrolyte imbalance is the key to successful anesthetic management. The anesthetic records of 156 infants with congenital hypertrophic pyloric stenosis were reviewed. Seventy-six per cent of the infants were male(i.e., 3:1 male to female ratio). Surgical correction was undertaken between age of 2 and 3 weeks, and the average weight of the infants at the time of surgery was 3.74+/-0.68 kg. All the infants received general anesthesia for the surgical procedure and assist respiration through the laryngeal mask airway was applied increasingly from 1992. There were no perioperative deaths.

Keyword

ANESTHESIA; pediatric; AIRWAY; intubation technique; laryngeal mask airway; SURGERY; congenital hypertrophic pyloric stenosis

MeSH Terms

Anesthesia
Anesthesia, General
Emergencies
Female
Humans
Infant*
Laryngeal Masks
Male
Pyloric Stenosis
Pyloric Stenosis, Hypertrophic*
Respiration