Pyloric stenosis surgery: Difference between revisions
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==Overview== | ==Overview== | ||
Infantile pyloric stenosis is typically managed with [[surgery]]. | Infantile pyloric stenosis is typically managed with [[surgery]]. Ranstedt's extramuscular [[pyloromyotomy]] is the [[Gold standard (test)|gold standard]] of treatment. | ||
==Surgery== | ==Surgery== | ||
[[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. | |||
* 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 [[Laparoscopic surgery|laparoscopically]] (through several tiny [[incision]]<nowiki/>s), depending on the [[surgeon]]'s experience and preference. | |||
Surgery is the mainstay of treatment for pyloric stenosis. | * 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. | |||
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 [[Laparoscopic surgery|laparoscopically]] (through several tiny [[incision]]<nowiki/>s), depending on the [[surgeon]]'s experience and preference. | * There is occasionally recurrence in the immediate post-operative period, but the condition generally has no long-term impact on the [[child]]'s future. | ||
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. | |||
There is occasionally recurrence in the immediate post-operative period, but the condition generally has no | |||
Revision as of 16:33, 6 December 2017
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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 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 is the gold standard of treatment[1].
- 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.