[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.146.176.30. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Other Articles
October 1929

INFANTILE PYLORIC OBSTRUCTIONPRELIMINARY REPORT OF ITS ALLERGIC NATURE

Author Affiliations

CLEVELAND
From the Allergy Clinic of Mt. Sinai Hospital.

Am J Dis Child. 1929;38(4):741-745. doi:10.1001/archpedi.1929.01930100061007
Abstract

In spite of much clinical observation, infantile pylorospasm and pyloric stenosis remain obscure in etiology and in their relationship to each other. Those observers who claim to be able to differentiate between them clinically, by roentgen examination or by both methods, are frequently proved wrong by the clinical course, at operation or at autopsy. Most clinicians include patients with both conditions in the classification of hypertonic infants, since general muscular hypertonus occurs with great frequency in them. Ward,1 who reviewed this subject in 1927, inferred that the only way to differentiate between them is by the end-result. If, on the administration of atropine and on a thick diet, the child improves, the case is one of pylorospasm; if no improvement follows these measures or if the symptoms continue to grow worse despite them, a diagnosis of organic obstruction is made and operation is advised. At operation a firm muscular

First Page Preview View Large
First page PDF preview
First page PDF preview
×