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Cambios epidemiológicos y diagnósticos en la estenosis hipertrófica de píloro.

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Title: Cambios epidemiológicos y diagnósticos en la estenosis hipertrófica de píloro.
Alternate Title: Changes in epidemiology and diagnosis of hypertrophic pyloric stenosis.
Authors: Vega Mata, N.1 nataliz_v@yahoo.es, Coto Cotallo, G. D.2, Álvarez Muñoz, V.1, Raposo Rodríguez, L.3, Rodríguez Villar, D.4, Martínez Camblor, P.5
Source: Acta Pediátrica Española. may2013, Vol. 71 Issue 5, p117-122. 6p.
Subjects: INFANT diseases, CHILDBIRTH, PYLORIC stenosis, WEIGHT loss, ULTRASONIC imaging, DIAGNOSIS
Abstract (English): Introduction: Hypertrophic pyloric stenosis is one of the most common causes of vomiting in infants with significant clinical and metabolic impact, more pronounced as time progresses. The objective of this study is to detect epidemiological changes and diagnostic development of hypertrophic pyloric stenosis, over a decade. Patients and methods: Retrospective descriptive study of 141 patients treated in our hospital between 2000 and 2009, inclusive. Several epidemiological, clinical and laboratory variables were collected and compared between two periods of time chosen at random to detect changes: 2000-2004 and 2005-2009. Results: The incidence of 1.92 ‰ live births, remained stable over time, with a male:female ratio of 6:1. There were also no changes in the porcentage of patient weight loss. However, we detected a decrease of 33% in the age of infants at the time of diagnosis as well as an increase of patients with less than 5 days lasting symptoms. The decrease of ultrasound measurements, lenght and wall thickness lead to a decline in the diagnosis of large and therefore more evolved pylori. As for the analytical parameters studied, we only appreciated a decrease in creatinine values. Conclusions: The diagnosis of hypertrophic pyloric stenosis has experienced an anticipation. Patients are diagnosed younger with less hypertrophied pylorus and therefore less clinical and laboratory alteration. Diagnosis has shifted significantly from clinical to the ultrasound one [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: La estenosis hipertrófica de píloro es una de las causas más frecuentes de vómitos en los lactantes, con una importante repercusión clínica y metabólica, y más acentuados según progresa el tiempo de evolución. El objetivo de este estudio es detectar los cambios en su evolución epidemiológica y diagnóstica a lo largo de una década. Pacientes y métodos: Estudio descriptivo y retrospectivo de 141 pacientes tratados en nuestro hospital entre 2000 y 2009, ambos años inclusive. Se recogieron diversas variables epidemiológicas, clínicas y analíticas, y se compararon dos periodos elegidos de forma aleatoria, 2000-2004 y 2005-2009, para detectar posibles cambios. Resultados: La incidencia del 1,92‰ de recién nacidos vivos se mantuvo estable en el tiempo, con una relación entre varones y mujeres de 6:1. No se observaron cambios en el porcentaje de pérdida de peso de los pacientes. Sin embargo, se detectó un descenso del 33% en la edad en el momento del diagnóstico, así como un aumento de los pacientes diagnosticados con menos de 5 días de evolución. La disminución de las medidas ecográficas correspondientes a la longitud y el espesor de la pared indican un descenso en el diagnóstico de píloros de gran tamaño y, por tanto, más evolucionados. En cuanto a los parámetros analíticos estudiados, sólo la creatinina presenta una disminución de sus valores. Conclusiones: El diagnóstico de la estenosis hipertrófica de píloro ha experimentado una cierta anticipación. Los pacientes se diagnostican a una edad y con un tiempo de evolución menores y, por tanto, presentan una menor alteración clínica y analítica. El diagnóstico ecográfico ha desplazado de forma significativa al diagnóstico clínico. [ABSTRACT FROM AUTHOR]
Copyright of Acta Pediátrica Española is the property of Ediciones Mayo and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Cambios epidemiológicos y diagnósticos en la estenosis hipertrófica de píloro.
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  Data: Changes in epidemiology and diagnosis of hypertrophic pyloric stenosis.
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  Data: <searchLink fieldCode="AR" term="%22Vega+Mata%2C+N%2E%22">Vega Mata, N.</searchLink><relatesTo>1</relatesTo><i> nataliz_v@yahoo.es</i><br /><searchLink fieldCode="AR" term="%22Coto+Cotallo%2C+G%2E+D%2E%22">Coto Cotallo, G. D.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Álvarez+Muñoz%2C+V%2E%22">Álvarez Muñoz, V.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Raposo+Rodríguez%2C+L%2E%22">Raposo Rodríguez, L.</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Rodríguez+Villar%2C+D%2E%22">Rodríguez Villar, D.</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Martínez+Camblor%2C+P%2E%22">Martínez Camblor, P.</searchLink><relatesTo>5</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Acta+Pediátrica+Española%22">Acta Pediátrica Española</searchLink>. may2013, Vol. 71 Issue 5, p117-122. 6p.
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  Data: <searchLink fieldCode="DE" term="%22INFANT+diseases%22">INFANT diseases</searchLink><br /><searchLink fieldCode="DE" term="%22CHILDBIRTH%22">CHILDBIRTH</searchLink><br /><searchLink fieldCode="DE" term="%22PYLORIC+stenosis%22">PYLORIC stenosis</searchLink><br /><searchLink fieldCode="DE" term="%22WEIGHT+loss%22">WEIGHT loss</searchLink><br /><searchLink fieldCode="DE" term="%22ULTRASONIC+imaging%22">ULTRASONIC imaging</searchLink><br /><searchLink fieldCode="DE" term="%22DIAGNOSIS%22">DIAGNOSIS</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Introduction: Hypertrophic pyloric stenosis is one of the most common causes of vomiting in infants with significant clinical and metabolic impact, more pronounced as time progresses. The objective of this study is to detect epidemiological changes and diagnostic development of hypertrophic pyloric stenosis, over a decade. Patients and methods: Retrospective descriptive study of 141 patients treated in our hospital between 2000 and 2009, inclusive. Several epidemiological, clinical and laboratory variables were collected and compared between two periods of time chosen at random to detect changes: 2000-2004 and 2005-2009. Results: The incidence of 1.92 ‰ live births, remained stable over time, with a male:female ratio of 6:1. There were also no changes in the porcentage of patient weight loss. However, we detected a decrease of 33% in the age of infants at the time of diagnosis as well as an increase of patients with less than 5 days lasting symptoms. The decrease of ultrasound measurements, lenght and wall thickness lead to a decline in the diagnosis of large and therefore more evolved pylori. As for the analytical parameters studied, we only appreciated a decrease in creatinine values. Conclusions: The diagnosis of hypertrophic pyloric stenosis has experienced an anticipation. Patients are diagnosed younger with less hypertrophied pylorus and therefore less clinical and laboratory alteration. Diagnosis has shifted significantly from clinical to the ultrasound one [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Introducción: La estenosis hipertrófica de píloro es una de las causas más frecuentes de vómitos en los lactantes, con una importante repercusión clínica y metabólica, y más acentuados según progresa el tiempo de evolución. El objetivo de este estudio es detectar los cambios en su evolución epidemiológica y diagnóstica a lo largo de una década. Pacientes y métodos: Estudio descriptivo y retrospectivo de 141 pacientes tratados en nuestro hospital entre 2000 y 2009, ambos años inclusive. Se recogieron diversas variables epidemiológicas, clínicas y analíticas, y se compararon dos periodos elegidos de forma aleatoria, 2000-2004 y 2005-2009, para detectar posibles cambios. Resultados: La incidencia del 1,92‰ de recién nacidos vivos se mantuvo estable en el tiempo, con una relación entre varones y mujeres de 6:1. No se observaron cambios en el porcentaje de pérdida de peso de los pacientes. Sin embargo, se detectó un descenso del 33% en la edad en el momento del diagnóstico, así como un aumento de los pacientes diagnosticados con menos de 5 días de evolución. La disminución de las medidas ecográficas correspondientes a la longitud y el espesor de la pared indican un descenso en el diagnóstico de píloros de gran tamaño y, por tanto, más evolucionados. En cuanto a los parámetros analíticos estudiados, sólo la creatinina presenta una disminución de sus valores. Conclusiones: El diagnóstico de la estenosis hipertrófica de píloro ha experimentado una cierta anticipación. Los pacientes se diagnostican a una edad y con un tiempo de evolución menores y, por tanto, presentan una menor alteración clínica y analítica. El diagnóstico ecográfico ha desplazado de forma significativa al diagnóstico clínico. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Acta Pediátrica Española is the property of Ediciones Mayo and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Text: Spanish
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      – SubjectFull: INFANT diseases
        Type: general
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      – SubjectFull: PYLORIC stenosis
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