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March 9, 1940

GASTRIC PERISTALSIS AFTER PYLOROTOMY IN INFANTS: WITH SPECIAL REFERENCE TO POSTOPERATIVE CARE OF PYLORIC STENOSIS

JAMA. 1940;114(10):847-850. doi:10.1001/jama.1940.02810100013005
Abstract

For nearly a quarter of a century it has been customary in postoperative management of infants who have undergone the Fredet-Rammstedt operation of pylorotomy for hypertrophic pyloric stenosis to begin the administration of water and milk very soon after operation and to repeat it at frequent intervals. Morgan,1 the first to outline the treatment in detail, advised giving 16 cc. of water one hour after operation, following it with 16 cc. of slightly diluted breast milk an hour later and thereafter alternating water and milk in gradually increasing amounts about every one and one-half hours. Strachauer2 begins feeding from three to four hours after operation. Paterson3 begins at four hours, giving 4 cc. hourly and gradually increasing the amount. Page4 begins an hour or two after operation. Lanman and Mahoney5 begin at two hours with water and repeat at two hour intervals, later using whey

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