Infantile hypertrophic pyloric stenosis is the most common surgical cause of vomiting in infancy. After adequate resuscitation, surgical pyloromyotomy is the standard of care for infants with pyloric stenosis. This article provides a brief overview and updates on hypertrophic pyloric stenosis in infants, with a focus on the surgical approach as well as perioperative management of this pathology. The most controversial aspect of the management of infants with pyloric stenosis is post-pyloromyotomy feeding, as there is no clear consensus in the literature on the best regimen. More randomized controlled trials are needed to establish the optimal resuscitation protocol in the preoperative phase and the ideal feeding regimen in the postoperative phase for infants with hypertrophic pyloric stenosis. [Pediatr Ann. 2021;50:(3):e136-e141.].

中文翻译：

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婴儿肥厚性幽门狭窄的简要概述和更新：关注围手术期管理。

婴儿肥厚性幽门狭窄是婴儿期呕吐最常见的手术原因。充分复苏后，手术幽门肌切开术是幽门狭窄婴儿的标准护理。本文提供了婴儿肥厚性幽门狭窄的简要概述和更新，重点介绍了这种病理的手术方法和围手术期管理。幽门狭窄婴儿治疗中最具争议的方面是幽门肌切开术后喂养，因为文献中没有关于最佳方案的明确共识。需要更多的随机对照试验来建立肥厚性幽门狭窄婴儿术前阶段的最佳复苏方案和术后阶段的理想喂养方案。[小儿安。2021;50:(3):e136-e141.]。