Abstract
Objective: Infantile hypertrophic pyloric stenosis is the most common cause of gastric outlet obstruction in infants within the first month of life. In this study, we aimed to elaborate the diagnosis, hospitalization and surgery procedures of patients with IHPS in Mogadishu, Somalia.
Material and Methods: In this research, 52 patients who were diagnosed with infantile hypertrophic pyloric stenosis and operated at the Recep Tayyip Erdoğan Training and Research Hospital in Mogadishu, Somalia between May 2019 and July 2021 were evaluated retrospectively. Abdominal ultrasonography was performed to all patients. Blood gas parameters were taken from the patient files. Ramstedt piloromyotomy surgical treatment was applied to 52 children.
Results: A total of 52 patients, 18 (34.6%) female and 34 (65.4%) male, were included in the evaluation within the scope of the study. The median age of the patients was 45 days (min: 15 days, max: 150 days), and the median day of discharge was 6 days (min: 3 days, max: 9 days). Wound infection occurred in eight (15.3%) patients, and postoperative recurrent vomiting occured in eight (15.3%) patients. While two patients with vomiting were operated for the second time, it was observed that the complaints of vomiting in six patients improved on the third postoperative day. Postoperatively, 4 (7.69%) of our patients were followed up in the neonatal intensive care unit. There was no death in the cases we operated on.
Conclusion: Infantile hypertrophic pyloric stenosis with non-bilious vomiting is a common condition in infants in Somalia and must be excluded in patients with recurrent non-bilious vomiting. Although the patients were admitted lately, no case of mortality has been observed in this study cohort where surgery conditions and postoperative care standards were below average.