Current trends in the diagnosis and treatment of pyloric stenosis
Pediatric Surgery International, ISSN: 1437-9813, Vol: 31, Issue: 4, Page: 363-366
2015
- 8Citations
- 23Captures
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
Citation Benchmarking is provided by Scopus and SciVal and is different from the metrics context provided by PlumX Metrics.
Metrics Details
- Citations8
- Citation Indexes8
- CrossRef5
- Captures23
- Readers23
- 23
Article Description
Aim: We hypothesized that recent trends towards earlier diagnosis of hypertrophic pyloric stenosis continued throughout the early part of the 21st century. Methods: We reviewed the medical records of patients with HPS at a single institution during two periods: 1/03–12/05 and 4/09–7/13. Results: A total of 433 patients with hypertrophic pyloric stenosis who underwent pyloromyotomy were included (modern cohort = 259; historic = 174). The two cohorts did not differ in terms of age, weight, or median time from symptom onset to physician (5 vs 6.5 days; p = 0.3) or surgeon (7 days for both) evaluation. The percentage of patients who presented late (>7 days of symptoms) (27 % modern vs 25 % historic; p = 0.15) or with an elevated serum bicarbonate (22 % for both; p = 0.8) did not change over time. There was a shift to laparoscopic procedures: 99 % modern vs 57 % historic (p < 0.0001) with no associated change in operative length (28 vs. 27 min; p = 0.06), or operative (3 % for both, p = 0.8) or respiratory (4 vs 2 %, p = 0.4) complications. Conclusion: Most infants with hypertrophic pyloric stenosis are diagnosed early, prior to significant electrolyte abnormalities; however, continued improvement in awareness is necessary given that a fourth of patients are diagnosed after over 1 week of symptoms.
Bibliographic Details
http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=84925537095&origin=inward; http://dx.doi.org/10.1007/s00383-015-3682-3; http://www.ncbi.nlm.nih.gov/pubmed/25672283; http://link.springer.com/10.1007/s00383-015-3682-3; https://dx.doi.org/10.1007/s00383-015-3682-3; https://link.springer.com/article/10.1007/s00383-015-3682-3
Springer Science and Business Media LLC
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