Pyloric stenosis surgery: Difference between revisions
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[[Image:Pyloromyotomie.jpg|thumb|left||Pyloromyotomy scar (rather large) 30 hrs post-op in a 1 month-old baby]] | [[Image:Pyloromyotomie.jpg|thumb|left||Pyloromyotomy scar (rather large) 30 hrs post-op in a 1 month-old baby]] | ||
* Surgery is the mainstay of treatment for pyloric stenosis. | * Surgery is the mainstay of treatment for pyloric stenosis. | ||
* Definitive treatment for infantile pyloric stenosis is with surgical [[pyloromyotomy]]. This is a relatively straightforward [[surgery]] that can be done through a single larger [[incision]] or [[Laparoscopic surgery|laparoscopically]] (through several tiny [[incision]]<nowiki/>s), depending on the [[surgeon]]'s experience and preference. | * Definitive treatment for infantile pyloric stenosis is with surgical [[pyloromyotomy]]<ref name="pmid8583327">{{cite journal| author=Greason KL, Thompson WR, Downey EC, Lo Sasso B| title=Laparoscopic pyloromyotomy for infantile hypertrophic pyloric stenosis: report of 11 cases. | journal=J Pediatr Surg | year= 1995 | volume= 30 | issue= 11 | pages= 1571-4 | pmid=8583327 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8583327 }} </ref>. This is a relatively straightforward [[surgery]] that can be done through a single larger [[incision]] or [[Laparoscopic surgery|laparoscopically]] (through several tiny [[incision]]<nowiki/>s), depending on the [[surgeon]]'s experience and preference. | ||
* Ranstedt's extramuscular [[pyloromyotomy]] is the [[Gold standard (test)|gold standard]] of treatment<ref name="pmid5136377">{{cite journal |vauthors=Markelov VP |title=[Affection of the vermilion border and mucous membrane of the lips in a patient with condyloma acuminatum] |language=Russian |journal=Vestn Dermatol Venerol |volume=45 |issue=8 |pages=69 |year=1971 |pmid=5136377 |doi= |url=}}</ref>. | * Ranstedt's extramuscular [[pyloromyotomy]] is the [[Gold standard (test)|gold standard]] of treatment<ref name="pmid5136377">{{cite journal |vauthors=Markelov VP |title=[Affection of the vermilion border and mucous membrane of the lips in a patient with condyloma acuminatum] |language=Russian |journal=Vestn Dermatol Venerol |volume=45 |issue=8 |pages=69 |year=1971 |pmid=5136377 |doi= |url=}}</ref>. | ||
* After the surgery,once the [[stomach]] can empty into the [[duodenum]], feeding can commence. | * After the surgery,once the [[stomach]] can empty into the [[duodenum]], feeding can commence. | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D.[2]
Overview
Infantile pyloric stenosis is typically managed with surgery. Ranstedt's extramuscular pyloromyotomy is the gold standard of treatment.
Surgery
- Surgery is the mainstay of treatment for pyloric stenosis.
- Definitive treatment for infantile pyloric stenosis is with surgical pyloromyotomy[1]. 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 is the gold standard of treatment[2].
- After the surgery,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 long-term impact on the child's future.
References
- ↑ Greason KL, Thompson WR, Downey EC, Lo Sasso B (1995). "Laparoscopic pyloromyotomy for infantile hypertrophic pyloric stenosis: report of 11 cases". J Pediatr Surg. 30 (11): 1571–4. PMID 8583327.
- ↑ 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.