A newborn baby is suspected of this disease if he vomits and tries to eat like a fountain
Jan 05, 2025
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Hypertrophic pyloric stenosis is a disease in which the muscles of the pylorus connecting the stomach and the duodenum become abnormally thick, narrowing the pylorus. As a result, the breast milk or powdered milk consumed by the newborn cannot pass over to the duodenum, and vomiting occurs while stagnating in the stomach. This disease is a congenital disease whose cause is not clear, and symptoms occur as early as two weeks of age, and on average, appear frequently in newborns for one month. They are more susceptible to boys than girls.
A typical symptom is repeated vomiting after feeding, and in severe cases, eruptive vomiting occurs. Vomiting is characterized by non-bile vomiting that does not contain green bile. Usually, newborns often vomit when they eat breast milk or powdered milk in a hurry, but if you are in a situation where you are not just a little bit hungry but spewing it like a fountain, you should suspect hypertrophic pyloric stenosis. If vomiting worsens, dehydration, malnutrition, and electrolyte abnormalities can occur. The baby has the characteristic of continuing to eat after vomiting.
If the symptoms are severe, the child may show signs of dehydration on a physical examination, and a lump about the size of an acorn may be touched in the upper abdomen. Ultrasonography can confirm the pylorus by measuring the thickness of the pylorus muscle layer and the length of the pylorus. Because dehydration and electrolyte imbalance may occur due to repeated vomiting, fluid treatment to correct it should be performed first, and surgery is the principle of fundamental treatment. Laparoscopic pyloriectomy is performed to cut thickened pylori wall muscles between the stomach and the duodenum to relieve pylori stenosis and help food move smoothly from the stomach to the duodenum.
Professor Oh Chae-yeon of Pediatric Surgery at Korea University Ansan Hospital advised, "Asymmetric pyloric stenosis is a disease that can be suspected in babies who repeatedly vomit around the age of 1 month. Since it can be diagnosed through ultrasound and can be cured with relatively simple surgery, it is important to recover the child's health with quick treatment if suspicious symptoms appear."
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This article was translated by Naver AI translator.
