Advances in pediatric surgery

Korean Association of Pediatric Surgeons (대한소아외과학회)
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Intravenous Atropine Sulfate Therapy for Infantile Hypertrophic Pyloric Stenosis

영아 비후성 유문 협착증의 atropine sulfate 정맥요법

  • Bang, Seun-Ho (Department of Surgery, Eulji University, College of Medicin) ;
  • Kang, Yoon-Jung (Department of Surgery, Eulji University, College of Medicin) ;
  • Joe, Byoung-Sun (Department of Surgery, Eulji University, College of Medicin) ;
  • Lee, Tae-Seok (Department of Surgery, Eulji University, College of Medicin)
  • 방승호 (을지의과대학교 외과학교실) ;
  • 강윤중 (을지의과대학교 외과학교실) ;
  • 조병선 (을지의과대학교 외과학교실) ;
  • 이태석 (을지의과대학교 외과학교실)
  • Published : 2002.06.30
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Abstract

The purpose of this study is to evaluate the applicability of intravenous atropine sulfate therapy in infantile hypertrophic pyloric stenosis (IHPS). From 1998 to 2000 among 35 cases of IHPS, pyloromytomy was performed in 13 (Group A), and intravenous atropine was given as a primary therapy in 22 cases (Group B). In group A, all cases were cured completely. In group B, 13 (59 %) out of 22 cases were successfully treated with atropine, but 9 were failed therapy, and required operation. The recovery period to normal feeding and the hospital stay of the successful atropine group were longer than those of pyloromyotomy, 8.6 days vs. 2.9 days and 13.2 days vs. 4.1 days, respectively. In conclusion, intravenous atropine therapy did not replace pyloromyotomy, but it might be an alternative for the selected patients with contraindications for operation.

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