A child is 1 month 10 days old. ''Gushing" vomiting has been observed since the age of 3 weeks. The vomit volume exceeds the volume of the previous feeding. Objectively: the child is inert. Skin elasticity and tissue turgor are decreased. Hour-glass deformity sign is positive. The preliminary diagnosis is pyloric stenosis. What treatment tactics should be chosen?

Answer options

1. Atropinization
2. Surgery
3. Internal administration of Novocaine
4. Prescription of Pipolphen
5. Prescription of Cerucal (Metoclopramide)

Explanation

The pylorus or pyloric part connects the stomach to the duodenum. Food from the stomach, as chyme, passes through the pylorus to the duodenum. Pyloric stenosis refers to a pylorus that is narrow. This is due to congenital hypertrophy of the pyloric sphincter. The lumen of the pylorus is narrower, and less food is able to pass through. When it is present, a newborn baby may projectile vomit after eating, but despite vomiting remain hungry. Pyloric stenosis may be managed by the insertion of a stent, or through the surgical cutting of the pyloric sphincter, a pyloromyotomy.