Surgery is necessary to treat pyloric stenosis. Once the blood tests come back normal, your baby's surgery - called a pyloromyotomy - will be scheduled. Blood tests will monitor how she's doing. This can usually be accomplished in about 24-48 hours. Your child will receive an intravenous (IV) line to replace the fluids and salts she's lost through vomiting. The first step in treating pyloric stenosis is to stabilize your baby by correcting the dehydration and electrolyte imbalance, which can have a serious impact on developing babies. Traditional X-rays of the abdomen are not useful in diagnosing pyloric stenosis, except when needed to rule out other potential problems. The contrast agent illuminates the narrowed pyloric outlet and shows how the stomach empties. Upper GI series: a series of X-rays taken after your baby drinks a special contrast agent.Ultrasound: the most common imaging test used to see the thickened pylorus.In addition to a complete history and physical exam, certain diagnostic procedures are used to confirm the diagnosis of pyloric stenosis: There are often palpable (or even visible) peristaltic waves due to the stomach trying to force its contents past the narrowed pyloric outlet. This mass, which consists of the enlarged pylorus, is referred to as the “olive,” and is sometimes evident after your infant is given formula to drink.įeeling the mass by palpation is a diagnostic skill requiring much patience and experience. On exam, palpation of the abdomen may reveal a mass in the upper central region of the abdomen. Radiographic studies are often recommended as well. Diagnosing pyloric stenosis is made after taking a careful medical and family history and performing a physical examination.
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