Journal of Nippon Medical School
Online ISSN : 1347-3409
Print ISSN : 1345-4676
ISSN-L : 1345-4676
Case Reports
Intravenous Atropine Treatment in Hypertrophic Pyloric Stenosis:Evaluation by Clinical Course and Imaging
Makiko Asai, Yasuhiro Katsube, Yuuko Takita, Takuya Okada, Miharu Hajikano, Mariko Fujimatsu, Mitsuhiro Kamisago, Yoshiki Nishizawa, Takehisa Fujita
Author information
Keywords: hypertrophic pyloric stenosis, atropine, contrast upper gastrointestinal series, ultrasonography
JOURNAL FREE ACCESS

2007 Volume 74 Issue 1 Pages 50-54

Details
Download PDF (186K)
Download citation RIS

(compatible with EndNote, Reference Manager, ProCite, RefWorks)

BIB TEX

(compatible with BibDesk, LaTeX)

Text
How to download citation
Contact us
Abstract

Hypertrophic pyloric stenosis (HPS) is the principal disease to consider in neonates presenting with frequent projectile vomiting and poor weight gain. Ramstedt pyloromyotomy is commonly used for the surgical treatment of HPS. The present study investigated the efficacy of nonsurgical medical treatment using intravenous administration of atropine and the examined the clinical course and results of ultrasonography and a contrast upper gastrointestinal series. A 34-day-old girl was admitted with chief complaints of projectile vomiting and poor weight gain. HPS was diagnosed on the basis of the clinical course and results of imaging studies. After intravenous administration of atropine, projectile vomiting resolved and weight increased without complications. On imaging studies, barium introduced into the stomach by tube rapidly entered the duodenum after atropine administration. Ultrasonography initially showed no reductions in hypertrophic muscle in the pyloric region, but gradual reductions were identified in subsequent months.

Content from these authors
© 2007 by the Medical Association of Nippon Medical School
Previous article Next article
Favorites & Alerts

Recently viewed articles
Predecessor

Journal of Nippon Medical School

Share this page
feedback
 Top