PYLORIC STENOSIS

· Hypertrophy (thickening) of the pyloric sphincter causing stenosis and obstruction

· 5 in 1000 births
· Cause unknown; possibly familial
Assessment Findings
· Olive-size mass in Right Upper Quadrant
· · Peristaltic waves during & after feedings
· Vomiting
· · As obstruction increases, vomiting becomes more forceful and projectile
· Hungry after vomiting
· Dehydration
Diagnostics
· Upper GI endoscopy
· Pyloric ultrasound
· Electrolyte imbalance
Interventions
· Replacement of fluid and electrolytes
· NPO
· Surgery: Pylorotomy
· Clear liquids post-operatively; then advance to solid diet.
· Nurse with Head of bed elevated to minimize gastric reflux.