The Cause of Pyloric Stenosis of Infancy chronicles the debate surrounding the cause of pyloric stenosis from its earliest discovery 300 years ago to the present. The Primary Hyperacidity Theory offers a credible explanation for all the classical signs and symptoms of pyloric stenosis as well a its associated features. In addition, this book comprehensively explores the medical and surgical treatment options as well as the general features used for diagnosis. An understanding of the true cause of pyloric stenosis will thus allow for treatment that is more individualized and sensitive to patients' needs. - Catalogues the classical signs and symptoms of pyloric stenosis and relates to their proposed causes - Investigates previously unexplained time-sensitive symptoms by relating them to a delay in maturation of the negative feedback between gastrin and acidity - Solves the mysteries of first-born preponderance, male predominance, and familiar inheritance - Includes stories from real life families dealing with pyloric stenosis to supplement science

Ian Munro Rogers worked as a Consultant Surgeon at the Ingham Infirmary, South Shields and subsequently at
South Tyneside Foundation Trust, from 1978 to 2004. He went to Allan Glen's School, Glasgow and earned an
M.B., Ch.B. from Glasgow University in 1967. Dr. Rogers received surgical training at Glasgow Royal Infirmary
and Westminster Hospital London. He is the author of many papers on the cause of pyloric stenosis of infancy and
other general surgical topics.
Dr. Rogers was President of the North East Surgical Society of England in 2000 and, for many years, he was also a
Guest Examiner in Surgery for the Royal College of Physicians and Surgeons, Glasgow. After retirement, he spent
several years teaching surgery at AIMST University in Malaysia as a Visiting Professor in Surgery. Now retired, Dr.
Rogers spends most of his time pursuing his hobby of music as a choir Member (Voices Together) as well as a singer
in a musical trio (The Three Wise Men). He is married with 4 children

The Cause of Pyloric Stenosis of Infancy chronicles the debate surrounding the cause of pyloric stenosis from its earliest discovery 300 years ago to the present. The Primary Hyperacidity Theory offers a credible explanation for all the classical signs and symptoms of pyloric stenosis as well a its associated features. In addition, this book comprehensively explores the medical and surgical treatment options as well as the general features used for diagnosis. An understanding of the true cause of pyloric stenosis will thus allow for treatment that is more individualized and sensitive to patients' needs.

• Catalogues the classical signs and symptoms of pyloric stenosis and relates to their proposed causes.
• Investigates previously unexplained time-sensitive symptoms by relating them to a delay in maturation of the negative feedback between gastrin and acidity.
• Solves the mysteries of first-born preponderance, male predominance, and familiar inheritance.
• Includes stories from real life families dealing with pyloric stenosis to supplement science.

1. The early descriptions
2. The early theories of causation
3. History of medical treatment
4. Early surgical treatment
5. Ramstedt and beyond
6. The alkalosis story
7. The personal story
8. What makes the adult pyloric sphincter contract?
9. How does acid in the duodenum trigger sphincter contraction?
10. Stomach motility and gastric emptying
11. The pyloric sphincter and pyloric stenosis of infancy
12. Symptoms-signs and other clues
13. Genetics-the seed and the soil
14. The gastrin connection-- is it responsible for neonatal hyperacidity?
15. The hesitant beginnings of the primary hyperacidity theory of cause
16. The primary hyperacidity theory
17. Clinical aspects and their explanation
18. The link between pyloric stenosis of infancy and duodenal ulcer in adults: feedback --negative and positive
19. Other contemporary lines of enquiry
20. Conclusion
21. The PS or reflux dilemma: Addendum 1
22. The real world: Addendum 2