The value of X-ray endoscopic examination in the differential diagnosis of pyloric stenosis

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Abstract

The results of clinical, X-ray, endoscopic studies and operational data were compared in 104 patients with pyloric stenosis of various etiology. Taking into account the literature data and our own observations, tables of the most important differential diagnostic signs of pyloric stenosis were compiled.

About the authors

R. F. Akberov

Kazan Institute for Advanced Training of Physicians named after V.I.Lenin

Author for correspondence.
Email: info@eco-vector.com

Department of Radiology

Russian Federation, Kazan

M. K. Fayzullin

Kazan Institute for Advanced Training of Physicians named after V.I.Lenin

Email: info@eco-vector.com

Department of Radiology

Russian Federation, Kazan

V. Y. Muravyov

Kazan Institute for Advanced Training of Physicians named after V.I.Lenin

Email: info@eco-vector.com

Department of Radiology

Russian Federation, Kazan

References

Supplementary files

Supplementary Files
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2. Fig. 1. Patient K., 47 years old. On the roentgenogram in the lateroposition after taking the gas-forming mixture, the pyloric section is conically narrowed, with indistinct, uneven contours. Air fills the unchanged bulb. Cancer pyloric stenosis.

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3. Fig. 2. Patient N., 47 years old. On the roentgenogram of the stomach after tight filling, the pyloric canal is lengthened, narrowed, with indistinct, uneven contours. Asymmetric filling defect in the antrum. Cancer pyloric stenosis.

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4. Fig. 3. Patient S., 32 years old. Primary hypertrophied pyloric stenosis (prompt confirmation). The pyloric canal is elongated, with smooth, clear contours; the antrum is rounded.

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5. Fig. 4. Patient K., 37 years old. On the roentgenogram after taking the gas-forming mixture: gastroectasia, the pyloric canal is lengthened (represented by a symptom of parallel stripes), with smooth, clear contours of primary hypertrophic pyloric stenosis (operative confirmation).

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