• Is obstruction of the pyloric sphincter due to hypertrophy of the circular muscle of the pylorus. It is one of the most common surgical disorder of early infancy.
– Newborn (2nd to 4th week after birth), initially there is non projectile vomiting.
– Then projectile vomiting that rapidly lead to dehydration.
– The vomit is no stained with bile.
– No weight gain or may loss weight
– Abdominal distention
– Palpable olive shaped tumor (right of the umbilicus)
Nursing and Therapeutic management:
– Correction of dehydration by IV fluids
– Surgical relief by Pyloromyotomy.
– The stomach is decompressed with NG tube (distention)
– Postoperative management consist of: initial feeds start 8- 12 hours after surgery with small, frequent feeding of fluids.
– Provide care as any abdominal surgery