What symptom does gastric pylorus stenosis have

summary

Gastric pyloric stenosis is not a big problem, but it often bothers me and makes me think wildly. Congenital hypertrophic pyloric stenosis is caused by hypertrophy and hyperplasia of pyloric ring muscle, and mechanical pyloric obstruction caused by stenosis of lumen is one of the common diseases in newborns and infants. The main manifestations were high gastrointestinal obstruction, such as vomiting, gastric peristalsis wave in upper abdomen and pylorus mass. At present, there is no unified understanding of the etiology. There are several theories, such as pyloric myenteric plexus abnormality, genetic theory, and other theories. Because there is no bile in the vomit, the high incomplete intestinal obstruction caused by various reasons can be excluded, but it may be confused with other situations and should be carefully differentiated. Let's take a look at the following

What symptom does gastric pylorus stenosis have

First, the disease is often complicated with malnutrition, water electrolyte imbalance, hand foot convulsions, metabolic acidosis, hyperbilirubinemia and cholestasis syndrome. Early postoperative vomiting is mainly related to the weakness of gastric peristalsis. If vomiting lasts for more than 3 to 4 days, incomplete pylorus ring myotomy or perforation should be considered. If vomiting continues frequently, another laparotomy should be performed for more than a week to exclude the gastrointestinal malformations or complications.

Second, medical treatment can not confirm the diagnosis, mild symptoms or late onset cases; If there are no surgical conditions or other diseases and parents refuse to use surgical treatment, medical treatment can be used. Some people believe that the circular muscle gradually becomes soft or smaller after 4~9 weeks of birth, or that the obstruction is incomplete. Some of the latex can still pass through, and there are spasmodic factors for obstruction.

Third, pyloric full-thickness muscle hypertrophy and hyperplasia, especially ring muscle, is caused by muscle fiber thickening and connective tissue hyperplasia between muscle bundles. On the duodenal side, because the muscular layer of the gastric wall does not continue with the muscular layer of the duodenal wall, the hypertrophic part suddenly ends at the beginning of the duodenum, making the pylorus appear as a spindle mass, 2-3cm in length, 1.5-2CM in diameter, and 0.4-0.6cm in thickness. The surface is pale and smooth, hard as cartilage. The mass increased with age.

matters needing attention

According to the body diet needs to consult the doctor according to the symptoms, reasonable diet, ensure comprehensive and balanced nutrition, light diet, eat more fruits and vegetables, quit smoking and alcohol, eat less spicy food. Strengthen physical exercise and keep a positive, healthy and optimistic attitude.