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.
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 incision*s), 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 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.
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.