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J R Soc Med. 1989 September; 82(9): 532–533.
PMCID: PMC1292297

Early postoperative feeding--a continuing controversy in pyloric stenosis.


Two regimens of postoperative fluid management are currently used following pyloromyotomy. Both early or delayed feeding have their advocates. The present study reviews 127 infants managed by the early feeding regimen. Although vomiting was common (79%) early discharge (75% within 72 h) was followed by no adverse effects. Weight gain at 7 days was unaffected by postoperative vomiting. Early feeding and early discharge can be achieved without increase in morbidity and may be the preferred method of postoperative management.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Spicer RD. Infantile hypertrophic pyloric stenosis: a review. Br J Surg. 1982 Mar;69(3):128–135. [PubMed]
  • Leahy A, Fitzgerald RJ. The influence of delayed feeding on postoperative vomiting in hypertrophic pyloric stenosis. Br J Surg. 1982 Nov;69(11):658–659. [PubMed]
  • Prosser R. Infantile hypertrophic pyloric stenosis. Surgery. 1965 Nov;58(5):881–883. [PubMed]
  • Golladay ES, Broadwater JR, Mollitt DL. Pyloric stenosis--a timed perspective. Arch Surg. 1987 Jul;122(7):825–826. [PubMed]
  • Gray DW, Gear MW, Stevens DW. The results of Ramstedt's operation: room for complacency? Ann R Coll Surg Engl. 1984 Jul;66(4):280–282. [PMC free article] [PubMed]
  • Schärli AF, Leditschke JF. Gastric motility after pyloromyotomy in infants. A reappraisal of postoperative feeding. Surgery. 1968 Dec;64(6):1133–1137. [PubMed]

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