Abstract: Background and Objectives:
Infantile Hypertrophic Pyloric Stenosis (IHPS) is one of the cause for vomiting in the newborn. The treatment of this condition had high mortality and morbidity until Ramstedt’s showed that pyloromyotomy surgery was curative with no mortality and morbidity.
Aim: Our aim was to study the clinical course of IHPS, the management and outcome of these cases.
Methods: A prospective study was conducted between September 2018 to March 2020 over 25 cases, admitted in our health services. After subjecting the patient to clinical examination and investigation for confirming the diagnosis, all were subjected to Ramstedt’s pyloromyotomy.
Results: In the study of 25 cases; the age of the infants ranged from 2 weeks to 12 weeks. Maximum number of cases i.e., 12 (48%) were between 2 to 4 weeks of age. This condition was more common among males than in females with a ratio of 4:1. All the patients presented with vomiting and visible peristalsis, dehydration was seen in 20 (80%) cases, palpable lump in 18 (72%) cases. Ultrasound abdomen was the investigation of choice and as done in all infants. The pyloric muscle thickness of >3mm was considered diagnostic. Barium meal and air contrast x-ray were other investigation carried out. After correcting the dehydration all the patients were subjected to Ramstedt’s Pyloromyotomy.
Conclusion: Ramstedt’s pyloromyotomy is a curative treatment with no mortality and very low morbidity.