Which is the most appropriate initial treatment for Infantile pyloric stenosis?

Answer and explanation

Correct answer: B. Pyloromyotomy after correcting the metabolic derangement

  1. Step 1: Infantile pyloric stenosis is treated with pyloromyotomy after correcting the metabolic derangement.
Answer
Pyloromyotomy after correcting the metabolic derangement.
Why not the others: 'Prolonged acid suppression and thickened feeds': they treat reflux, not obstruction. 'Barium meal as treatment': it is a test, not a treatment. 'Emergency laparotomy without resuscitation': metabolic derangement must be corrected first.

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