Sonographic Diagnosis of Infantile Hypertrophic Pyloric stenosis- Use of
Abstract
Objective: To evaluate the accuracy of Ultrasound in the diagnosis of Infantile Hypertrophic
Pyloric stenosis, especially with simultaneous use of grey-scale & colour doppler examination of
pylorus.
Methods: Fifty two infants with suspected Infantile Hypertrophic Pyloric stenosis (IHPS) were
evaluated with grey-scale and colour Doppler examination. The sonographic findings were
categorized as positive IHPS, negative IHPS and equivocal cases. Positive songraphic findings in
21 infants (40%) were confirmed at surgery. Negative sonographic findings in 27 infants (52%)
were followed by ward chart reviews.
Results: Sensitivity, Specificity and Accuracy of grey-scale & colour doppler examination for the
diagnosis of IHPS were 100%.
Conclusion: Sonography is the method of choice for the diagnosis of IHPS. Simultaneous greyscale
and colour Doppler examination of pylorus for suspected IHPS is more accurate than
simple grey-scale sonography.
Key words: Grey-scale Sonography, Colour Doppler examination, Infantile Hypertrophic Pyloric
stenosis, experienced radiologists.
Pyloric stenosis, especially with simultaneous use of grey-scale & colour doppler examination of
pylorus.
Methods: Fifty two infants with suspected Infantile Hypertrophic Pyloric stenosis (IHPS) were
evaluated with grey-scale and colour Doppler examination. The sonographic findings were
categorized as positive IHPS, negative IHPS and equivocal cases. Positive songraphic findings in
21 infants (40%) were confirmed at surgery. Negative sonographic findings in 27 infants (52%)
were followed by ward chart reviews.
Results: Sensitivity, Specificity and Accuracy of grey-scale & colour doppler examination for the
diagnosis of IHPS were 100%.
Conclusion: Sonography is the method of choice for the diagnosis of IHPS. Simultaneous greyscale
and colour Doppler examination of pylorus for suspected IHPS is more accurate than
simple grey-scale sonography.
Key words: Grey-scale Sonography, Colour Doppler examination, Infantile Hypertrophic Pyloric
stenosis, experienced radiologists.
Hussain, M. (2008). Sonographic Diagnosis of Infantile Hypertrophic Pyloric stenosis- Use of. International Journal of Health Sciences, 2(2). Retrieved from https://ijhs.qu.edu.sa/index.php/journal/article/view/58
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
Copyright and license info is not available