When was pyloric stenosis discovered

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Rent article Rent this article from DeepDyve. Access to free article PDF downloads. Save your search. He also advised giving these infants mL of dextrose in saline subcutaneously and recommended blood transfusions for especially sick babies.

He avoided barium x-rays and emphasized emptying the stomach before an operation under ether anesthesia. Earlier diagnoses and improved intravenous nutritional therapy markedly improved the pre-operative condition of these infants during the s. The high transverse incision eliminated evisceration as a postoperative complication; routine emptying of the stomach and improved anesthetic techniques eliminated pulmonary complications. The mortality rate for infants with hypertrophic pyloric stenosis declined to near zero but misdiagnosis with severe malnutrition continued to be a problem.

Experienced clinicians are unduly proud of their ability to make the diagnosis by observation of peristaltic waves and palpation of the pyloric tumor. There are times when the baby simply will not relax and palpation is difficult. Gastrointestinal x-rays are not always reliable and there is reluctance to do barium studies for fear of aspiration. This non-invasive technique solved the problem of delayed diagnosis.

At the beginning of the twenty-first century, with greater ease in making the diagnosis and the virtual elimination of death and surgical complications, attention turned to eliminating pain, cosmetic improvement of the incision, reducing costs, and shortening the hospital stay. Minimally invasive surgery in the form of laparoscopy has replaced open methods for the Ramstedt operation.

Navy and returned to Cook County for training in surgery. Heather J. Richard Sims, Special Collections Librarian, and an expert at finding references, found many of the original papers in the Galter Library of Northwestern University. Spring Sections Surgery. Circa From the Archives of the American College of Surgeons. Commissioned by the author.

Kindeh, 27 [] Davis, L. Murphy, Stormy Petrel of Surgery , G. Putnam and Sons, , New York, N. Thompson, George F. Congenital Hypertrophic Pyloric Stenosis in Infants with report of an operated case. Surgery, Gynecology and Obstetrics, Vol. Northwestern Medical School, , pg. Bevan, A. Philadelphia, , pg. Journal of the American Medical Association Vol. LXII Jan. Societe de Medecine De Paris. Fredet, P. Chirugie, , 37 Ramstedt, C. Grulee C.

Hill, B. Proceedings of the Institute of Medicine, , pg. Journal of the American Medical Association, Vol.

Strauss, A. Illinois Medical Journal Vol. Institute of Medicine, Chicago, 16, , pg Keeley, J. The Surgeon and the Child, W. Saunders Co. Smith, E.