Pyloric stenosis surgery

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Pyloric stenosis Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Infantile pyloric stenosis is typically managed with surgery.

Surgery

Pyloromyotomy scar (rather large) 30 hrs post-op in a 1 month-old baby


Definitive treatment of pyloric stenosis is with surgical pyloromyotomy (dividing the muscle of the pylorus to open up the gastric outlet). This is a relatively straightforward surgery that can be done through a single larger incision or laparoscopically (through several tiny incisions), depending on the surgeon's experience and preference.

Ranstedt's extramuscular pyloromyotomy remains the gold standard of treatment[1].

Once the stomach can empty into the duodenum, feeding can commence.

There is occasionally recurrence in the immediate post-operative period, but the condition generally has no longterm impact on the child's future.



References

  1. Markelov VP (1971). "[Affection of the vermilion border and mucous membrane of the lips in a patient with condyloma acuminatum]". Vestn Dermatol Venerol (in Russian). 45 (8): 69. PMID 5136377.

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