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September 1963

Pyloric Atresia

Author Affiliations

Departments of Surgery and Pediatrics, The Mount Sinai Hospital.

Arch Surg. 1963;87(3):413-416. doi:10.1001/archsurg.1963.01310150049011

Atresia of the pylorus has been reported in 16 newborn infants. Eleven of these have survived.

Two of the patients were under 5 lb (2,267 gm) in weight at birth. Seven were female, eight were males, and in one case the sex of the patient was not indicated.

This case is reported to describe a method of surgical treatment which we feel is useful in all cases of gastric, duodenal, and high jejunal obstruction in the newborn.

Report of a Case  The patient was born on Oct 16, 1961, weighing 5 lb 4 oz (2,381.36 gm). Because of polyhydramnios, a tube was passed into the infant's stomach to rule out esophageal atresia. Six cc of clear gastric fluid was obtained.The baby was given feedings of 5% glucosewater starting at 12 hr of age. Some spitting up of feedings was noted. The vomitus was not bile stained.At 24 hr