Questions
- 1.
- 2.
What is the clinical presentation of pyloric stenosis?
- 3.
- 4.
What metabolic derangements are associated with pyloric stenosis, and how are they treated?
- 5.
What is the surgical treatment for pyloric stenosis?
- 6.
What are the anesthetic considerations for patients with pyloric stenosis?
A 4-week-old infant presented for pyloromyotomy. The patient had a 3-day history of nonbilious, projectile vomiting.
3
How is the diagnosis made?
On physical examination, an olive-like mass can be palpated in the epigastrium just right of the midline. The diagnosis can be confirmed either by ultrasound or by barium swallow. However, barium swallow adds to the risk of aspiration pneumonitis in the perioperative period.