El tamaño de la oliva y su relación con el cuadro clínico en pacientes con estenosis hipertrófica del píloro
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| Formato: | Artículo científico |
| Lenguaje: | en |
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Academia Mexicana de Cirugía, A.C.
2005
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| _version_ | 1876472250457128960 |
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| author | Alejandro V. Gómez-Alcalá |
| author_facet | Alejandro V. Gómez-Alcalá |
| contents | El tamaño de la oliva y su relación con el cuadro clínico en pacientes con estenosis hipertrófica del píloro Alejandro V. Gómez-Alcalá Medicina pylorus pyloric stenosis pyloric hypertrophy Introduction: The pyloric olive (PO) is the result of theanomalous growth of the pyloric muscle among patients withpyloric stenosis (PS). It frequently is unexpectedly large, or someother times surprisingly small, and those variations in size havebeen difficult to explain.Material and methods: We measured the PO in 145 consecutivepatients with PS during the operation, and then we classifiedthem as small if their length was less than 20 mm, medium if 20 to30 mm, or large if more than 30 mm; several variables wereanalyzed by mean of the chi square or Spearman rho tests.Results: Six cases were excluded due to an unclear total lengthrecord of the PO. The PO size was classified as small in 19(13.7%), medium in 71 (51%) and large in 49 (35.3%). The POsize did not associate with gender, way of birth, the presence ofjaundice, constipation or any specific blood group or Rh factor,and it did not correlate with birth weight or month and gestationalorder either. Medium and large PO were more frequently palpatedthan smaller (94-100% vs. 83%, p= 0.009); PO size correlatedwith the duration of the history of vomiting (CQ 0.267, p = 0.002),childs age (CQ 0.243, p = 0.005) and weight at operation (CQ0.190, p = 0.048). A daily weight loss surpassing 5 g was morecommonly found among small PO (p= 0.038).Conclusions: In more than a third of the PS patients, PO isunexpectedly large, and in one of every seven it is surprisinglysmall. The bigger PO size associates with a longer disease, andwith older and heavier patients, which probably is explained by aslighter clinical course. A small PO is more difficult to palpateduring clinical evaluation 2005 artículo científico 0009-7411 https://www.redalyc.org/articulo.oa?id=66273104 en http://www.redalyc.org/revista.oa?id=662 Cirugía y Cirujanos application/pdf Academia Mexicana de Cirugía, A.C. Cirugía y Cirujanos (México) Num.1 Vol.73 |
| format | Artículo científico |
| id | redalyc_66273104 |
| institution | Redalyc |
| language | en |
| publishDate | 2005 |
| publisher | Academia Mexicana de Cirugía, A.C. |
| spellingShingle | El tamaño de la oliva y su relación con el cuadro clínico en pacientes con estenosis hipertrófica del píloro Alejandro V. Gómez-Alcalá Medicina pylorus pyloric stenosis pyloric hypertrophy El tamaño de la oliva y su relación con el cuadro clínico en pacientes con estenosis hipertrófica del píloro Alejandro V. Gómez-Alcalá Medicina pylorus pyloric stenosis pyloric hypertrophy Introduction: The pyloric olive (PO) is the result of theanomalous growth of the pyloric muscle among patients withpyloric stenosis (PS). It frequently is unexpectedly large, or someother times surprisingly small, and those variations in size havebeen difficult to explain.Material and methods: We measured the PO in 145 consecutivepatients with PS during the operation, and then we classifiedthem as small if their length was less than 20 mm, medium if 20 to30 mm, or large if more than 30 mm; several variables wereanalyzed by mean of the chi square or Spearman rho tests.Results: Six cases were excluded due to an unclear total lengthrecord of the PO. The PO size was classified as small in 19(13.7%), medium in 71 (51%) and large in 49 (35.3%). The POsize did not associate with gender, way of birth, the presence ofjaundice, constipation or any specific blood group or Rh factor,and it did not correlate with birth weight or month and gestationalorder either. Medium and large PO were more frequently palpatedthan smaller (94-100% vs. 83%, p= 0.009); PO size correlatedwith the duration of the history of vomiting (CQ 0.267, p = 0.002),childs age (CQ 0.243, p = 0.005) and weight at operation (CQ0.190, p = 0.048). A daily weight loss surpassing 5 g was morecommonly found among small PO (p= 0.038).Conclusions: In more than a third of the PS patients, PO isunexpectedly large, and in one of every seven it is surprisinglysmall. The bigger PO size associates with a longer disease, andwith older and heavier patients, which probably is explained by aslighter clinical course. A small PO is more difficult to palpateduring clinical evaluation 2005 artículo científico 0009-7411 https://www.redalyc.org/articulo.oa?id=66273104 en http://www.redalyc.org/revista.oa?id=662 Cirugía y Cirujanos application/pdf Academia Mexicana de Cirugía, A.C. Cirugía y Cirujanos (México) Num.1 Vol.73 |
| title | El tamaño de la oliva y su relación con el cuadro clínico en pacientes con estenosis hipertrófica del píloro |
| topic | Medicina pylorus pyloric stenosis pyloric hypertrophy |
| url | https://www.redalyc.org/articulo.oa?id=66273104 |