Kliniğimizde izlenen infantil hipertrofik pilor stenozu (İHPS) olan çocukların retrospektif analizi

Abdülkadir BOZAYKUT, Zeynep ATAY, Özahi İlke İPEK, Pulat Lale SEREN, Serap KARAMAN, Enver ATAY

Özet

Zeynep Kamil Hastanesi Süt Çocuğu Servisinde Ocak 1997 - Ekim 2001 tarihleri arasında İHPS tanısıyla takip edilen 13 hasta, retrospektif olarak değerlendirildi. Vakalardan 10 tanesi erkek (%76.9), 3 tanesi kızdı (%23.1). Kız/erkek oranı 1:3.3 idi. İki vaka (%15.3) prematüre iken, 11 vaka (%84.7) termdi. Eşlik eden hastalık olarak 1 vakada (%7.69) aort dekstropozisyonu ve VSD, 1 vakada (%7,69) sağ böbrek agenezisi ve üriner enfeksiyon saptandı. Palpabl tümör "olive " 5 vakada (%38.4) mevcuttu. Batın USG'de pilor kanal uzunluğu ortalama 21.69 ( 1.93 mm, pilor kas kalınlığı 6.65 ( 1.25 mm ve pilor çapı 14.76 ( 0.82 mm olarak saptandı. Oniki vaka, pyloromyotomi yapılarak tedavi edilirken, 1 vaka ağır protein enerji malnütrisyonu (PEM) ve sepsis nedeniyle exitus oldu.

Abstract

In this study, 13 patients with the diagnosis of IHPS hospitalized between January 1997- October 2001 in Zeynep Kamil Hospital; clinics of pediatrics were evaluated retrospectively. Of the 13 cases 10 were male, 3 were female. Female/male ratio was found to be 1:3.3. Two patients were premature, 11 of them were term. Associated anomalies were found to be in two patients. One of the them was dextroposition of the aorta and VSD, and the other was agenesis of the right kidney. Palpabl tumour "olive" was present in 5 of the patients. In abdominal USG mean pyloric channel length was 21.69 ( 1.93 mm, mean pyloric muscle thickness was 6.65 ( 1.25 mm and mean pyloric diameter was 14.76 ( 0.82 mm. Twelve of the patients were treated with pyloromyotomy and the remainig one died because of severe PEM and sepsis.