Patient's question:
After the child was born eleven days later, they were taken to the hospital and found to have neonatal pneumonia. After the pneumonia improved, the child had intermittent symptoms of a hoarse throat. After taking anti-inflammatory and expectorant medication, vomiting became severe. A digital gastrointestinal examination was performed at Xi'an Children's Hospital, and the result was congenital hypertrophic pyloric stenosis.Doctor's answer:
According to your description, congenital pyloric atresia is a rare gastrointestinal malformation, accounting for 1% of all gastrointestinal atresias. It has a familial tendency and may be related to autosomal recessive inheritance. Surgery is the only effective treatment for this condition. During laparotomy, blind-end atresia is easily detected. Membranous atresia appears normal and is easily missed; it is essential to examine the pylorus by incision. Surgical methods can involve excising the membrane to perform pyloroplasty, but sometimes obstruction may occur due to anastomotic edema and duodenal torsion. Therefore, the gastric duodenal side-to-side anastomosis is currently more commonly chosen, with good results. Daily care for the child also needs to be paid close attention to, and it is crucial to be cautious.