INFANT PYLORUS ULTRASOUND

RADIOGRAPHIC FEATURES

5

X-ray

Abdominal x ray findings are not specific but may show distended stomach with minimal distal intestine bowel gas

ETIOLOGY

3

By birth

(usually presents between the second and sixth weeks of life)

Mostly idiopathic

Multifactorial

preterm

Genetic

Environmental

Hormonal

Behavior

”

Barium meal study

Ionizing radiation

Delay gastric empting

Difficult to tolerate

INFANT PYLORUS ULTRASOUND

EPIDEMIOLOGY

2

HYPERTROPIC PYLORIC STENOSIS

(HPS)

Rate of 2-5 / 1000

Male more than female by 4:1

Common in infant with blood type B and O

commonly in the white population

Effect children more than adult

Presented By:

Shahad Karami

OUTLINES

1

Definition

anatomy

Indications

Equipment and preparations

Scanning technique

Considerations and limitations

Tretmeant

WHY U/S

ANATOMY

Pyloric is the opining from the stomach to the first part of small intestine

( duodenum)

non-invasive and does not use radiation, which is a significant advantage in children.

 commonly available with relatively low cost

allows a dynamic study with direct observation of the pyloric canal morphology and behavior. 

HPS DEFINITION

Hypertrophic pyloric stenosis (HPS) is a result of both hyperplasia and hypotrophy of circular muscle fiber, with elongation and thickening

INDICATIONS TO R/O PYLORIC STENOSIS

forceful, projectile vomiting

4

Dehydration

weight loss

Babies with pyloric stenosis may seem to be hungry all the time

Constipated

Physical examination olived shape mass