Lüdtke F E, Bertus M, Michalski S, Dapper F D, Lepsien G
Department of General Surgery, University of Göttingen, Germany.
J Clin Ultrasound. 1994 Jun;22(5):299-305. doi: 10.1002/jcu.1870220503.
Long-term follow-up was performed 17 years to 27 years after conservative (n = 12) and operative (n = 36) treatment in 48 patients with infantile hypertrophic pyloric stenosis (IHPS). The follow-up examination included an interview to define any existing gastrointestinal symptoms and to determine whether a current disorder of the gastrointestinal tract was present; a clinical examination, including a scintigraphic determination of gastric emptying; as well as--for the first time--abdominal sonography emphasizing the antropyloric region. The sonographical examination included measurements of pyloric diameter and length, as well as wall and muscle thickness in the antropyloric region. The results were compared with data from a control group with the same age and gender distribution. No association was found between the sonographic parameters obtained, reported gastrointestinal symptoms, or altered gastric emptying times for solids and liquids. Clinically relevant disorders of stomach motility after IHPS appear to be a rare occurrence.
对48例婴儿肥厚性幽门狭窄(IHPS)患者进行了保守治疗(n = 12)和手术治疗(n = 36),并在治疗后17至27年进行了长期随访。随访检查包括访谈,以确定是否存在任何现有的胃肠道症状,并确定当前是否存在胃肠道疾病;临床检查,包括胃排空的闪烁扫描测定;以及首次强调胃幽门区域的腹部超声检查。超声检查包括测量幽门直径和长度,以及胃幽门区域的壁厚度和肌肉厚度。将结果与年龄和性别分布相同的对照组数据进行比较。在所获得的超声参数、报告的胃肠道症状或固体和液体胃排空时间改变之间未发现关联。IHPS后临床上相关的胃动力障碍似乎很少见。