Pyloric Stenosis Guideline Recap

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Topic overview

Dr. Meera Kotagal discusses the preoperative and post-operative management of pyloric stenosis. These guidelines are currently followed at Cincinnati Children's Hospital (January 2019) as guided by the following studies:

  • Dalton BGA, et al. Optimizing fluid resuscitation in hypertrophic pyloric stenosis. J Pediatr Surg 2016;51(8):1279-1282. 
  • Markel TA, et al. A randomized trial to assess advancement of enteral feeds following surgery for hypertrophic pyloric stenosis. J Pediatr Surg 2017;52(4):534-539.
  • Adibe OO, et al. Protocol versus ad libitum feeds after laparoscopic pyloromyotomy: A prospective randomized trial. J Pediatr Surg 2014;49(1):129-132. 
  • Graham KA, et al. A review of postoperative feeding regimens in infantile hypertrophic pyloric stenosis. J Pediatr Surg 2013;48:2175-2179. 

Keywords

Pyloric StenosisPediatric SurgeryGuidelineNonbilious EmesisHypochloremic AlkalosisUltrasoundResuscitationPyloromyotomyAd Lib FeedingDalton et al.

Hashtags

#pyloricstenosis#pediatricsurgery#pyloromyotomy#pediatricguidelines#hypochloremia#metabolicalkalosis#fluidresuscitation#adlibfeeding
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