Infantile hypertrophic pyloric stenosis is a common cause of gastric outlet obstruction. It occurs due to hypertrophy and hyperplasia of the muscle layer of the pylorus; however, the etiology is still unclear. It affects about 1 to 3 in 1000 live births and is more common in white infants with a male-to female ratio of about 4:1. It affects families with higher incidence in first-born infants. It presents at 2-8 weeks of age with nonbilious vomiting may be projectile (in about 70% of cases) causing dehydration, weight loss, decreased urinary output, electrolyte disturbances and may lead to shock.
AIM OF THE WORK
The aim of the present work is to compare between the laparoscopic and open pyloromyotomy as regard operative time, mucosal perforation, hospital stay and time to reach full enteral feeding.
SUBJECTS
After approval of the medical ethics committee of Alexandria Faculty of medicine, an informed consent was taken from parents and guardians of all patients to include their data in this study. The study will include 50 patients presented with infantile hypertrophic pyloric stenosis in pediatric surgery unit, department of surgery, Alexandria University Hospitals from 01/01/2019 to 31/04/2020. The selected patients should have infantile hypertrophic pyloric stenosis diagnosed by Ultrasound.