Milk bolus obstruction secondary to the early introduction of premature baby milk formula: an old syndrome re-emerging in a new population.

Milk bolus obstruction of the neonatal bowel apparently related to the use of artificial powder milk, particularly full cream cows milk, was first recognised in the late 1960s. The syndrome almost disappeared with the use of highly modified cows milk formulae but has now re-emerged in the low birth weight population with the early use of high calorific feeds specifically designed for these infants. We describe four cases of obstruction and perforation of the bowel seen on our neonatal intensive care unit in 1 calendar year and discuss the possible aetiology of this condition.

What happens to the pylorus after pyloromyotomy?

The rate of return to normal of the pylorus muscle in infantile hypertrophic pyloric stenosis was measured by ultrasound, using a simple pyloric volume calculation and a pyloric muscle index. The muscle hypertrophy took from two to 12 weeks to resolve.

Late back closure in myelomeningoceles--better results for the more severely affected?

The results of operated cases of myelomeningocele and meningocele during 1980-1985 are presented. The results of treating open lesions with severe paralysis by late closure do not appear to give rise to a lower intelligence. It is suggested that elective delayed surgery is in the child's best interest.