Pyloric stenosis surgery

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.

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.