Pyloric stenosis surgery

Infantile pyloric stenosis is typically managed with surgery. Ranstedt’s extramuscular pyloromyotomy is the gold standard of treatment. 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.

Surgery is the mainstay of treatment for infantile pyloric stenosis.^[1]

• Definitive treatment for infantile pyloric stenosis is with surgical pyloromyotomy.^[2][3]
• 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.^[4]
• 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.

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