Innovative Approaches to Treating Pediatric Pyloric Stenosis A Retrospective cohort study

Original Article

Abstract

Background : The cause of PPS is not well known, but it is a pathology that is identified in the early stage of life whereby the pyloric muscle plate hypertrophies thus causing gastric outlet obstruction in infants. This disease normally starts within the first week of the baby’s life and is characterized by projectile vomiting and dehydration.

_{Objectives: In order to assess the effectiveness of the new strategies that are employed in mangement of Pediatric Pyloric Stenosis such as laparoscopic and endoscopic procedures.}

Study design : A Retrospective cohort study

Place and duration of study.department of paediatric surgery mmc mardan from jan 2019 to july 2019

Methods : The present observation included an aggregate of 150 patients diagnosed with PPS in childhood department of paediatric surgery mmc mardan from july 2019 to December 2019 Open PP, LPP, and EPP were performed as previously described Outcome information of recovery period, complications and recurrence were derived and assessed.

Results : In the present study, the demographic variables found were mean = 6. 5 weeks, Standard deviation = 1. 2 among the 150 patients. Compared to open surgery, patients who underwent Laparoscopic pyloromyotomy had reduced recovery period and low post operative complications p = 0.

The outcome of the endoscopic pyloromyotomy also showed the similar effectiveness as with the conventional technique (p = 0. 15). Surprisingly, endoscopic approaches were reported to have a trend towards quicker postoperative recovery but the results need to be confirmed in other research activities.

Conclusion : New techniques, especially laparoscopic and endoscopic pyloromyotomy, are better than the traditional method of open surgery in the management of Pediatric Pyloric Stenosis while they can also have advantages regarding the outcome of the recovery time and side effects.

Keywords : Pediatric Pyloric Stenosis, laparoscopic pyloromyotomy, endoscopic, post-operative