Pyloric stenosis surgery

Pyloric stenosis Microchapters
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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.
• This is a relatively straightforward surgery that can be done through a single larger incision or laparoscopically (through several tiny incision*s), depending on the surgeon's experience and preference.
• Ranstedt's extramuscular pyloromyotomy is the gold standard of treatment.
• After the surgery, once the stomach can empty into the duodenum, feeding can be started.
• There is occasionally recurrence in the immediate post-operative period, but the condition generally has no long-term impact on the child's future.

Ultrasonography showing pyloric stenosis nipple sign source:By BruceBlaus (Own work) [CC BY-SA 4.0 (https://creativecommons.org/licenses/by-sa/4.0), via Wikimedia Commons]