Outcomes of open Ramstedt's pyoloromyotomy among infantile hypertrophic pyloric stenosis patients at governmental hospitals in Amhara Region, Ethiopia, 2023.
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引用次数: 0
Abstract
Background: Infantile hypertrophic pyloric stenosis is characterized by enlarged pyloric musculature and gastric outlet obstruction. In developing countries, it results in a high rate of malnutrition, dehydration, electrolyte and acid-base imbalance and associated mortality. Ramstedt's pyloromyotomy is the commonest procedure used to treat Infantile hypertrophic pyloric stenosis in Ethiopia, particularly in the study area. However, treatment outcomes of the procedure were not well addressed in Ethiopia, particularly at the study area.
Objective: To assess outcomes of open Ramstedt's pyloromyotomy among Infantile hypertrophic pyloric stenosis patients who underwent open Ramstedt's pyloromyotomy at government hospitals in Amhara Region, Ethiopia, 2023.
Methods: A facility based cross-sectional study was conducted among 119 Infantile hypertrophic pyloric stenosis patients operated with open Ramstedt's pyloromyotomy at government hospitals. Hospitals were selected by simple random sampling. The data were collected using a data extraction checklist prepared in English language. The data were analyzed using Statistical Package for Social Science (SPSS) version 27. Descriptive statistics was used to describe the characteristics of the study participants.
Results: In this study the clinical records of 119 infants were retrieved from three government hospitals. Majority (78.2%) of the study participants were male. All infants had nonbilious vomiting and more than one thirds (34.5%) had malnutrition during admission. The overall proportion of poor outcome was 35.3% (mortality = 0.8% and morbidities = 34.5%). Prolonged preoperative hospital stay, hypokalemia and hypochloremia were the common poor outcome.
Conclusion: The mortality rate is significantly decreased, but there were still significant morbidities in this group of patients. High proportion of malnutrition, hypokalemia, and hypochloremia found at the time of admission underscores a critical pattern of delayed healthcare-seeking.
背景：婴儿肥厚性幽门狭窄以幽门肌组织扩大和胃出口梗阻为特征。在发展中国家，它导致营养不良、脱水、电解质和酸碱失衡以及相关死亡率的高发率。Ramstedt幽门切开术是最常用的程序用于治疗婴儿肥厚性幽门狭窄在埃塞俄比亚，特别是在研究地区。然而，在埃塞俄比亚，特别是在研究地区，该程序的治疗结果没有得到很好的解决。目的：评估2023年在埃塞俄比亚阿姆哈拉地区政府医院行开放性Ramstedt幽门肌切开术的婴儿肥厚性幽门狭窄患者的预后。方法：对119例在公立医院行开放式Ramstedt幽门切开术的婴儿肥厚性幽门狭窄患者进行了基于设施的横断面研究。采用简单随机抽样的方法选择医院。数据采集采用英文编写的数据提取清单。数据分析使用SPSS （Statistical Package for Social Science）第27版。描述性统计用于描述研究参与者的特征。结果：本研究检索了3所公立医院119例婴儿的临床资料。大多数（78.2%）的研究参与者是男性。所有婴儿在入院时均有非胆汁性呕吐，超过三分之一（34.5%）有营养不良。不良预后的总比例为35.3%（死亡率= 0.8%，发病率= 34.5%）。术前住院时间延长、低钾血症和低氯血症是常见的不良预后。结论：本组患者病死率明显降低，但仍有明显的发病率。入院时发现的高比例营养不良、低钾血症和低氯血症强调了延迟就医的关键模式。
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