Pyloric stenosis by definition is a swelling or thickening of the pylorus which is the muscle between the stomach and the small intestines. It causes severe emesis in the first months of life (El- Gohary et al., 2018) . Due to the enlargement of the pylorus, there is a narrowing at the opening that opens the stomach to the intestines, therefore, blocking the contents in the stomach from moving to the intestines. It is common in babies between the age of 2-8 weeks and about 2-3 babies in 1000.
The symptoms include projectile, non-bilious vomiting, consequent dehydration, poor feeding, and weight loss among other gastrointestinal symptoms. Diagnosis is usually from a detailed history, physical exam and imaging (Hernanz-Schulman, 2018) . Treatment involves correcting any hemodynamic derangements, and once the baby has hemodynamic stability, surgery is scheduled to correct the pyloric stenosis. The surgical procedure is known as a pyloromyotomy (El- Gohary et al., 2018) . Post-surgical care and follow up is essential in the management for optimal results in the baby’s health.
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Pediatric primary healthcare entails screening, monitoring psychosocial and physical growth, diagnosis and treatment of disease and management of serious, and life-threatening illness (Jobson & Hall, 2016) . Screening, diagnosis, and management of pyloric stenosis is, and early treatment and intervention are vital in the provision of primary health care to the children with the disorder (Hernanz-Schulman, 2018) . Treatment ensures normal psychosocial and physical development of the child as well as the preservation of life from the potentially life-threatening illness.
The clinical guidelines for the management of pyloric stenosis involve the establishment of an IV access, stopping oral feeds and use of a nasogastric tube in the case of profuse vomiting despite the stoppage of feeds (El- Gohary et al., 2018) . Fluid management is also indicated to correct any fluid deficits and surgery is delayed until there is the correction of any fluid deficiencies or electrolyte derangements (Hernanz-Schulman, 2018) . From the article, there is a correlation with the clinical guidelines that give the proper way of management according to evidence-based practice.
References
El-Gohary, Y., Abdelhafeez, A., Paton, E., Gosain, A., & Murphy, A. J. (2018). Pyloric stenosis: an enigma more than a century after the first successful treatment. Pediatric Surgery International , 34 (1), 21-27.
Hernanz-Schulman, M. (2018). Infantile Hypertrophic Pyloric Stenosis (IHPS) in Infants and Children: Evidence-Based Emergency Imaging. In Evidence-Based Emergency Imaging (pp. 555-565). Springer, Cham.
Jobson, M., & Hall, N. J. (2016, August). Contemporary management of pyloric stenosis. In Seminars in Pediatric Surgery (Vol. 25, No. 4, pp. 219-224). WB Saunders.
