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2024, Number 2

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Acta Pediatr Mex 2024; 45 (2)

Jodhpur disease, case series and literature review

Pacheco OFA, Sánchez PV, Simonín ROD, Arias AJL, Madriñán RJE, Estudillo AJD, Castellanos LM

Language: Spanish
References: 30
Page: 113-122
PDF size: 210.25 Kb.


ABSTRACT

Background: Jodhpur disease is an entity described for the first time in 1997 by Sharma, in Jodhpur, India. This author modified the classification of gastric obstructions to include gastric outlet obstruction once any identifiable restriction at the pyloric level had been ruled out.
Clinical case: We present 4 cases that presented with recurrent non-biliary vomiting without secondary obstruction of the pyloric lumen treated with Heineke-Mikulicz pyloroplasty, obtaining remission of the clinical picture. We searched different sources of medical information for cases grouped as "Jodhpur disease" or clinically coincident, collecting more than 50, which we compared with our series.
Conclusion: With the information obtained, we conclude that this entity is more frequent in male preschoolers, characterized by vomiting of non-biliary gastric contents from a few days to 4 years of evolution, frequently associated with abdominal distension or epigastric mass. We suggest the gastroduodenal esophagus series as an initial approach study that demonstrates obstruction to the gastric outlet tract, confirmed by endoscopy, ruling out associated secondary causes. Therapeutic management, once the hydration and nutritional status of the patient has been corrected, could be the Heineke-Mikulicz pyloroplasty, used in most reported cases with successful results.


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