İnfantil Hipertrofik Pilor Stenozu Olgularının Uzun Dönem İzlem Sonuçları

Abstract

The long-term results of patients with infantile hypertrophic pyloric stenosis (IHPS) are not clearly known. Therefore, a prospective study was conducted to evaluate the long-term nutritional habits and to investigate the presence of functional intestinal disorders in the cases underwent surgery for IHPS in the neonatal period. After ethical approval, patient records were accessed from hospital archive system. IHPS cases were recruited in the study group (SG). Healthy volunteers were included in the control group (CG). Each group was divided into subgroups as 4-10 years of age and 10 years old and over. The Eating Behavior Questionnaire (EBQ) and the ROMA III-Turkish version questionnaire were applied to the CG and SG cases by mail. Survey data were recorded and groups were compared. There was not statistically significant difference between CG (n=52) and SG (n=52) in all age groups in terms of height and weight values, body mass index, height and weight percentiles for age (p>0.05). There was no statistically significant difference between CG and SG for all parameters of EBQ (p>0.05). According to the ROME III (for both age groups) survey results; the epigastric pain was seen significantly higher in SG compared to CG (p<0.05). According to ROME III criteria, functional gastrointestinal disorder was not found in all cases with epigastric pain. There was no significant difference between cases with IHPS and healthy controls regarding the anthropometric measures and eating behaviors in long-term follow-up. Although IHPS cases experience epigastric pain in long-term, none of them seems to develop gastrointestinal functional disorder.