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icine ratings, please refer to Table of Contents or the online Instructions to Authors www.springer.com/00266 . Some paediatric surgical diseases showed a declining incidence in recent years, among which hypertrophic pyloric stenosis has been particularly striking shortly in the years after the millennium. We aimed to assess whether this development continued over the following decade, as it might offer the chance to better understand the underlying reasons. We analysed data files obtained from the German federal statistics office for
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