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WILLIAM P. KLEITSCH, M.D.

AMA Arch Surg. 1952;65(5):655-664.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

HYPERTROPHY of the pyloric sphincter as a source of symptoms in the adult is an uncommon but by no means rare condition. Recent extensive reviews of the literature have brought the subject up-to-date.¹ Unfortunately, however, in most instances the condition has been described as more or less of a medical curiosity, and diagnosis has been insufficiently stressed. Indeed, Bockus² has said, "A positive preoperative diagnosis of pyloric muscle hypertrophy in adults is not possible." It is my opinion, to the contrary, that this condition is associated with sufficient constant roentgenographic features to be diagnosable by the radiologist or the gastroenterologist. An increased awareness of this disease, together with an appreciation of its diagnostic criteria, will bring surgical relief to a number of patients now treated medically for vague abdominal and epigastric symptoms.

In this series of four cases the patient was usually referred to the surgeon as having . . . [Full Text PDF of this Article]

Author Affiliations
OMAHA

From the Department of Surgery of the Creighton University School of Medicine and the Surgical Service of the United States Veterans Hospital. This study was initiated at the Lincoln Veterans Hospital, and the case reports are from their files.

Footnotes
Sponsored by the Veterans Administration and published with the approval of the Chief Medical Director. The statements and conclusions published by the author arc a result of his own study and do not necessarily reflect the opinion or policy of the Veterans Administration.

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