Developer site: The content shown here is test data.

MyEClinic
MyEClinic
Health Dictionary AI Health Chat Find an Online Doctor
A serene Zen garden with raked sand and smooth stones, symbolising clarity and calm

Health Dictionary

Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.

Back to skin conditions

Pyloric stenosis surgery

Introduction

Overview

Overview

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.

Indications

Indications

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

Surgery

Surgery

  • 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.
hvfye6nokpQ|500}}
Ultrasonography showing pyloric stenosis nipple sign source:By BruceBlaus (Own work) [CC BY-SA 4.0 (https://creativecommons.org/licenses/by-sa/4.0), via Wikimedia Commons]
References

References

  1. ↑ Sparrow, Charles A. (1921). “Congenital Hypertrophic Pyloric Stenosis”. The Boston Medical and Surgical Journal. 185 (8): 235–238. doi:10.1056/NEJM192108251850805. ISSN 0096-6762.
  2. ↑ 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.
  3. ↑ Levine D, Edwards DK (1992). “The olive on end: a useful variant of the “shoulder” sign in the barium X-ray diagnosis of idiopathic hypertrophic pyloric stenosis”. Pediatr Radiol. 22 (4): 275–6. PMID 1523050.
  4. ↑ 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.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D.[2]