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 is the mainstay of treatment for pyloric stenosis.
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.

↑ 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.
↑ Markelov VP (1971). "[Affection of the vermilion border and mucous membrane of the lips in a patient with condyloma acuminatum]". Vestn Dermatol Venerol (in Russian). 45 (8): 69. PMID 5136377.