Atresia of the pylorus has been reported in 16 newborn infants. Eleven of these have survived.
Two of the patients were under 5 lb (2,267 gm) in weight at birth. Seven were female, eight were males, and in one case the sex of the patient was not indicated.
This case is reported to describe a method of surgical treatment which we feel is useful in all cases of gastric, duodenal, and high jejunal obstruction in the newborn.
Report of a Case
The patient was born on Oct 16, 1961, weighing 5 lb 4 oz (2,381.36 gm). Because of polyhydramnios, a tube was passed into the infant's stomach to rule out esophageal atresia. Six cc of clear gastric fluid was obtained.The baby was given feedings of 5% glucosewater starting at 12 hr of age. Some spitting up of feedings was noted. The vomitus was not bile stained.At 24 hr