This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
There have been but few opportunities of examining the condition of the pylorus at any great length of time after an operation for the relief of the symptoms associated with congenital pyloric stenosis. In many of the cases which terminate fatally, death has occurred as a direct result of the operation or so soon that no regressive changes in the hypertrophied muscle could have been expected. Roentgen findings would seem to indicate that the pylorus never becomes patent, even after successful gastro-enterostomy. If the pylorus is permanently occluded, the indication for surgical treatment becomes imperative, and there should be no attempt at medical treatment. Cautley and Dent state that all patients with true congenital pyloric stenosis die before reaching the age of 4 months unless operated on. Heubner, Starck, Bloch and Bendix have between them reported seventy-one cases treated medically with sixty-six recoveries. To explain the differences in the results
LEWIS D, GRULEE CG. THE PYLORUS AFTER GASTRO-ENTEROSTOMY FOR CONGENITAL PYLORIC STENOSISA REPORT ON ITS CONDITION TWO HUNDRED AND FIFTY-SIX DAYS FOLLOWING THE OPERATION. JAMA. 1915;LXIV(5):410-412. doi:10.1001/jama.1915.02570310030010