Pyloric stenosis surgery: Difference between revisions
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==Overview== | ==Overview== | ||
Infantile pyloric stenosis is typically managed with [[surgery]]. Ranstedt's extramuscular [[pyloromyotomy]] is the [[Gold standard (test)|gold standard]] of treatment. | Infantile pyloric stenosis is typically managed with [[surgery]]. Ranstedt's extramuscular [[pyloromyotomy]] is the [[Gold standard (test)|gold standard]] of treatment. | ||
== Indications == | |||
[[Surgery]] is the mainstay of treatment for infantile pyloric stenosis. | |||
==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]] | ||
* 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. | * 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="pmid26581339">{{cite journal| author=Chalya PL, Manyama M, Kayange NM, Mabula JB, Massenga A| title=Infantile hypertrophic pyloric stenosis at a tertiary care hospital in Tanzania: a surgical experience with 102 patients over a 5-year period. | journal=BMC Res Notes | year= 2015 | volume= 8 | issue= | pages= 690 | pmid=26581339 | doi=10.1186/s13104-015-1660-4 | pmc=4652415 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26581339 }} </ref>. | * Ranstedt's extramuscular [[pyloromyotomy]] is the [[Gold standard (test)|gold standard]] of treatment<ref name="pmid26581339">{{cite journal| author=Chalya PL, Manyama M, Kayange NM, Mabula JB, Massenga A| title=Infantile hypertrophic pyloric stenosis at a tertiary care hospital in Tanzania: a surgical experience with 102 patients over a 5-year period. | journal=BMC Res Notes | year= 2015 | volume= 8 | issue= | pages= 690 | pmid=26581339 | doi=10.1186/s13104-015-1660-4 | pmc=4652415 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26581339 }} </ref>. | ||
Revision as of 16:51, 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.
Indications
Surgery is the mainstay of treatment for infantile pyloric stenosis.
Surgery
- 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.
- ↑ Chalya PL, Manyama M, Kayange NM, Mabula JB, Massenga A (2015). "Infantile hypertrophic pyloric stenosis at a tertiary care hospital in Tanzania: a surgical experience with 102 patients over a 5-year period". BMC Res Notes. 8: 690. doi:10.1186/s13104-015-1660-4. PMC 4652415. PMID 26581339.