Increased awareness of idiopathic hypertrophic pyloric stenosis (IHPS) and readily available ultrasonographic diagnosis might mean that 'classic' presentations are becoming less common. We sought to describe the epidemiology, clinical features and outcomes of children with IHPS in the modern era. A retrospective case review of all cases of IHPS presenting to a single tertiary paediatric hospita...

HISTORY OF PRESENT ILLNESS The patient was a 3300 g product of a 37-week gestation. The pregnancy was complicated by pre-eclampsia. The newborn infant was noted to regurgitate much of her feeding. A barium swallow showed pyloric stenosis, pyloromyotomy was performed at 2 weeks of age and the problem resolved. At 3 weeks of age, she developed an erythematous, exfoliative rash that began on the c...

Hypertrophic pyloric stenosis is uncommon in premature babies. In term infants, the typical presentations include a palpable mass over the epigastric area, exaggerated gastric peristalsis after feeding and projectile non-bilious vomiting. However these symptoms are not commonly seen in premature infants. The onset of symptoms in pyloric stenosis in premature infants is later than that in term i...

Hypertrophic pyloric stenosis (HPS) is a well-known cause of gastric outlet obstruction in infants. However, its etiology is still controversial. Our experience has let us to consider that transpyloric (TP) tube feeding may be a potential cause of HPS. We report 3 cases of HPS in the context of TP tube feedings. All 3 patients had severe fundamental surgical disease and required enteral nutriti...

BACKGROUND Recently, it has been suggested that Helicobacter pylori might be a cause of some cases of infantile hypertrophic pyloric stenosis (IHPS) in infancy on the basis of its epidemiologic and clinical features. We performed this study to evaluate the possible relationship between IHPS and H. pylori. DESIGN In consecutive infants with IHPS, we performed upper gastrointestinal endoscopy w...