{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T12:06:56Z","timestamp":1762430816016},"reference-count":20,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,11,18]],"date-time":"2013-11-18T00:00:00Z","timestamp":1384732800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2014,2]]},"abstract":"Abstract<\/jats:title>Aim<\/jats:title>This study aimed to determine the causes of postoperative emesis (PE<\/jats:styled-content>) in neonates with infantile hypertrophic pyloric stenosis (IHPS<\/jats:styled-content>) after laparoscopic pyloromyotomy (LP<\/jats:styled-content>).<\/jats:p><\/jats:sec>Methods<\/jats:title>Retrospective review of the hospital database for infants with IHPS<\/jats:styled-content> managed between 2000 and 2010 was performed. Relevant data were collected from the clinical records in the Medocs\u00ae<\/jats:sup> system and used for statistical analysis.<\/jats:p><\/jats:sec>Results<\/jats:title>During the 10\u2010year period, 95 patients with IHPS<\/jats:styled-content> were identified and 43 (36 boys and seven girls) fulfilled the inclusion criteria. PE<\/jats:styled-content> occurred in 21 infants (48.8%), of which nine presented with manifestations of enteric infections, with confirmed diagnosis in four. PE<\/jats:styled-content> was significantly higher in the fast track feeding protocol (FTFP<\/jats:styled-content>) group 12\/15 compared with the conventional slow feeding protocol (CSFP<\/jats:styled-content>) group 8\/21 (p\u00a0=<\/jats:italic>\u00a00.019). Gastro\u2010oesophageal reflux (GER<\/jats:styled-content>) confirmed by 24\u2010h impedance monitoring was responsible for PE<\/jats:styled-content> in three. Operative revision for suspected incomplete pyloromyotomy was performed in five infants. However, incomplete myotomy could only be confirmed in two infants during surgery.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Postoperative emesis in IHPS<\/jats:styled-content> after LP<\/jats:styled-content> requires careful evaluation as it can be a result of enteric viral infections, aggressive feeding protocols or GER<\/jats:styled-content>. Decisions to perform reoperations for incomplete myotomy after LP<\/jats:styled-content> due to PE<\/jats:styled-content> are challenging.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.12460","type":"journal-article","created":{"date-parts":[[2013,10,12]],"date-time":"2013-10-12T14:33:14Z","timestamp":1381588394000},"update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Postoperative emesis after laparoscopic pyloromyotomy in infantile hypertrophic pyloric stenosis"],"prefix":"10.1111","volume":"103","author":[{"given":"C","family":"Castellani","sequence":"first","affiliation":[{"name":"Department of Paediatric\u2010 and Adolescent Surgery Medical University Graz Graz Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T","family":"Peschaut","sequence":"additional","affiliation":[{"name":"Department of Paediatric\u2010 and Adolescent Surgery Medical University Graz Graz 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