Pylorosthenosis is a pathology of the development of the output (pyloric) part of the stomach - quite often occurs in newborn children. The cause of pyloric stenosis is a sharp narrowing of the gatekeeper and, as a consequence, a violation of the evacuation of the contents of the stomach in the newborn. The stomach, trying to push food into the duodenum, is shortened, but the food because of constriction of the gatekeeper passes badly and there is an attack of severe vomiting. The disease is caused by hypertrophy of the pyloric sphincter muscles, a large number of overgrown connective tissue partially closes the lumen in the gatekeeper. Congenital pyloric stenosis occurs in boys more often than in girls, can also be inherited.
Signs of pyloric stenosis in newborns
The main symptom of pyloric stenosis in newborns is vomiting "fountain" immediately after feeding, which occurs in the 2-3 weeks of the child's life. At the beginning, regurgitation and vomiting occur occasionally, and then, as the narrowing of the pylorus increases - after each feeding. As a rule, the amount of vomit is equal to or even higher than the amount of milk eaten per feed. In the vomit masses, there is no bile impurity. As a result of persistent vomiting, the child's body quickly becomes dehydrated and dehydrated. A child loses weight even when compared to the weight at birth. The amount of urination decreases, the urine becomes more concentrated. Constipation occurs. Another symptom is the peristalsis of the stomach, which has the form of an "hourglass", running wavy from top to bottom and from left to right. This symptom can be caused if you pat the baby's stomach in the stomach area or give a few drinks of water. When pyloric stenosis in children there are all the symptoms of dehydration - the skin is dry, the mucous bright, the fontanel sunken, the turgor of the skin is lowered, the subcutaneous fat layer is sharply reduced or nonexistent.
What is dangerous pyloric stenosis?
The consequences of pyloric stenosis manifest themselves in the form of an expansion of the stomach, its walls are hypertrophied, and erosion can occur. Vomiting leads to asphyxia, aspiration pneumonia, without operative treatment there is a sepsis, a dystrophia, an osteomyelitis.
It is important to differentiate pyloric stenosis with other diseases, in which there is vomiting without an admixture of bile. For the diagnosis, first of all, palpation examination of the pylorus is performed by ultrasound examination of the stomach, if there are still doubts in the diagnosis - contrast radiology.
How to treat pyloric stenosis?
Treatment of pyloric stenosis in newborns is only surgical. The operation is appointed immediately after the establishment of an accurate diagnosis. If the child is severely depleted, then before the operation it is necessary to restore the balance of water, salts, acids and bases in the newborn's body lost as a result of pyloric stenosis. Usually, after the operation, a full recovery of the baby comes and no recurrence of the disease occurs. Therefore, parents should be very careful about any abnormalities in the child's well-being and in any doubt turn to qualified specialists for assistance.