Hypertrophic pyloric stenosis in premature infants: evaluation of sonographic criteria and short-term outcomes

Salvatore Cascio, M. Steven, H. Livingstone, David Young, R. Carachi

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Purpose: To examine the sonographic measurements of pyloric muscle and pyloric thickness in premature infants with hypertrophic pyloric stenosis (HPS) and to correlate these measurements with patients variables. We aimed also to evaluate the clinical features and short-term outcome of HPS in premature compared to term infants.

Methods: The medical notes and the pyloric ultrasounds of all premature infants (<37 weeks) admitted to the Neonatal Surgical Unit with HPS over a 20-year period (1990-2010) were retrospectively reviewed. Sonographic measurements of the pyloric length, muscle thickness and the pyloric ratio (muscle thickness divided by pyloric diameter) were correlated to weight at presentation, duration of symptoms and corrected gestational age. Multiple regression and correlation analysis was carried out.

Results: Seventy-five preterm infants were identified (51M:24F). Median gestational age was 34 weeks. Median weight at presentation was 2.74 kg. Forty-two had an ultrasound (US) before surgery, 37 measurements were analysed. Pyloric length, muscle thickness and pyloric ratio were not affected by weight at presentation (p = 0.67, p = 0.122, p = 0.849), corrected gestational age (CGA) (p = 0.921, p = 0.678, p = 0.076), or duration of symptoms (p = 0.827, p = 0.268, p = 0.281). Mean length of stay was 6 days and overall complication rate was 27 %, both higher than reported in term infants (p < 0.001).

Conclusions: Premature infants with HPS have a higher female preponderance than expected. Ultrasound measurements in premature infants with HPS are not affected by weight, corrected gestational age or duration of symptoms. In addition, they have a longer hospital stay and increased complication rate compared to term infants.
LanguageEnglish
Pages697-702
Number of pages6
JournalPediatric Surgery International
Volume29
Issue number7
Early online date19 May 2013
DOIs
Publication statusPublished - Jul 2013

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Hypertrophic Pyloric Stenosis
Premature Infants
Gestational Age
Weights and Measures
Muscles
Length of Stay
Regression Analysis

Keywords

  • infants
  • premature infants
  • hypertrophic pyloric stenosis
  • ultrasonography
  • prematurity

Cite this

Cascio, Salvatore ; Steven, M. ; Livingstone, H. ; Young, David ; Carachi, R. / Hypertrophic pyloric stenosis in premature infants : evaluation of sonographic criteria and short-term outcomes. In: Pediatric Surgery International. 2013 ; Vol. 29, No. 7. pp. 697-702.
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abstract = "Purpose: To examine the sonographic measurements of pyloric muscle and pyloric thickness in premature infants with hypertrophic pyloric stenosis (HPS) and to correlate these measurements with patients variables. We aimed also to evaluate the clinical features and short-term outcome of HPS in premature compared to term infants.Methods: The medical notes and the pyloric ultrasounds of all premature infants (<37 weeks) admitted to the Neonatal Surgical Unit with HPS over a 20-year period (1990-2010) were retrospectively reviewed. Sonographic measurements of the pyloric length, muscle thickness and the pyloric ratio (muscle thickness divided by pyloric diameter) were correlated to weight at presentation, duration of symptoms and corrected gestational age. Multiple regression and correlation analysis was carried out.Results: Seventy-five preterm infants were identified (51M:24F). Median gestational age was 34 weeks. Median weight at presentation was 2.74 kg. Forty-two had an ultrasound (US) before surgery, 37 measurements were analysed. Pyloric length, muscle thickness and pyloric ratio were not affected by weight at presentation (p = 0.67, p = 0.122, p = 0.849), corrected gestational age (CGA) (p = 0.921, p = 0.678, p = 0.076), or duration of symptoms (p = 0.827, p = 0.268, p = 0.281). Mean length of stay was 6 days and overall complication rate was 27 {\%}, both higher than reported in term infants (p < 0.001).Conclusions: Premature infants with HPS have a higher female preponderance than expected. Ultrasound measurements in premature infants with HPS are not affected by weight, corrected gestational age or duration of symptoms. In addition, they have a longer hospital stay and increased complication rate compared to term infants.",
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Hypertrophic pyloric stenosis in premature infants : evaluation of sonographic criteria and short-term outcomes. / Cascio, Salvatore; Steven, M.; Livingstone, H.; Young, David; Carachi, R.

In: Pediatric Surgery International, Vol. 29, No. 7, 07.2013, p. 697-702.

Research output: Contribution to journalArticle

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