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Pyloroplasty—Child
Pyloroplasty—Child(Pyloric Stenosis Repair; Pyloromyotomy)Pronounced: py-LOR-oh-plah-stee, py-LOR-ik stuh-NOH-sis, py-LOR-oh-MY-ah-ta-me
by
Daus Mahnke, MD DefinitionThe pylorus is the opening between the stomach and the intestines. A pyloroplasty is a surgery to make the pylorus opening wider.
Reasons for ProcedureThe pylorus opens and closes to allow food to pass to the intestines. Certain conditions can make this area thicker. This change can make it difficult for food to pass. The condition is called pyloric stenosis. It can cause severe symptoms, such as nausea, vomiting, and dehydration. Pyloroplasty is done to widen the opening. It can treat this condition. Possible Complications TOPComplications are rare. However, no procedure is completely free of risk. Your child's doctor will review a list of possible complications, which may include:
Factors that may increase the risk of complications include:
What to Expect TOPPrior to ProcedureMake sure your child does not eat or drink anything before the surgery. Follow the specific directions given by your doctor. AnesthesiaGeneral anesthesia will be used. Your child will be in a deep sleep. Description of ProcedureThe anesthesia will be given. Once your child is asleep, an incision will be made in the abdomen. A cut will be made in the muscle of the pylorus. The pylorus will then be sewn back together in a wider shape. The abdominal muscles will be sewn back together. The skin will be closed with stitches or staples. Immediately After ProcedureAfter the surgery, your child will be monitored for about 1-2 hours. How Long Will It Take?The surgery will take about 1-2 hours. How Much Will It Hurt?Anesthesia will block pain during the procedure. After the surgery, your child will feel pain. Medication will be given to help manage the pain. Average Hospital StayThe usual length of stay is 1-3 days. The doctor may choose to keep your child longer if there are complications. Post-procedure CareA normal diet will be gradually introduced during the hospital stay. Before your child goes home, a nurse will teach you how to take care of her surgical incision. Ask your doctor about when it is safe for your child to shower, bathe, or soak in water. Be sure to follow the doctor's instructions. Call Your Doctor TOPAfter your child leaves the hospital, contact the doctor if any of the following occurs:
In case of an emergency, call for medical help right away. RESOURCES:American Gastroenterological Association http://www.gastro.org/ Familydoctor.org, American Academy of Family Physicians http://familydoctor.org CANADIAN RESOURCES:Canadian Medical Association Journal http://www.cmaj.ca References:
Feldman M.
Sleisenger and Fordtran’s Gastrointestinal and Liver Disease
, 7th ed. Philadelphia, PA: Saunders; 2002.
Khatri VP, Asensio JA.
Operative Surgery Manual
, 1st ed. Philadelphia, PA: WB Saunders; 2003.
Townsend CM.
Sabiston Textbook of Surgery
, 17th ed. St. Louis, MO: WB Saunders; 2004.
Yamada T.
Textbook of Gastroenterology
, 4th ed. Philadelphia, PA: Lippincott, Williams, and Wilkins; 2003.
Last reviewed November 2012 by Michael Woods, MD Last Updated: 11/26/2012 | |