ArticlePediatric gastroenterology, hepatology & nutrition2024
Utility of Pyloric Length Measurement for Detecting Severe Metabolic Alkalosis in Infants with Hypertrophic Pyloric Stenosis.
Article in Pediatric gastroenterology, hepatology & nutrition, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed, 2 citations in OpenAlex.
- Association between perioperative metabolic disorders and disease time course with pyloric morphological characteristics in infants with infantile hypertrophic pyloric stenosis.BMC pediatrics · 2026Article
- Pyloric index: a novel nomogram predictor of metabolic alkalosis in congenital hypertrophic pyloric stenosis.Pediatric research · 2026Article
- Machine learning-based prediction of surgical timing and discharge in infantile hypertrophic pyloric stenosis a multimodal predictive approach.Pediatric surgery international · 2026Article
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1 author at 1 institution in 1 country.
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Abstract
Purpose: Infantile hypertrophic pyloric stenosis (IHPS) is a common gastrointestinal disease in neonates and hypochloremia metabolic alkalosis is a typical laboratory finding in affected patients. This study aimed to analyze the clinical characteristics of infants with IHPS and evaluate the association of clinical and laboratory parameters with ultrasonographic findings. Methods: Infants diagnosed with IHPS between January 2017 and July 2022 were retrospectively evaluated. Results: A total of 67 patients were included in the study. The mean age at diagnosis was 40.5±19.59 days, and the mean symptom duration was 11.97±9.91 days. The mean pyloric muscle thickness and pyloric canal length were 4.87±1.05 mm and 19.6±3.46 mm, respectively. Hyponatremia and metabolic alkalosis were observed in five (7.5%) and 36 (53.7%) patients, respectively. Serum sodium ( Conclusion: We found a close association between laboratory and ultrasonographic findings of IHPS. Clinicians should give special consideration to patients with pyloric lengths exceeding 23.5 mm and appropriate fluid rehydration should be given to these patients.
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