Pyloric stenosis surgery
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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. 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.