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Pyloroplasty

Updated: 9/7/2023
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13y ago

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Definition

Pyloroplasty is a surgical procedure to widen the opening in the lower part of the stomach (pylorus) so that the stomach contents can empty into the small intestine (duodenum).

The pylorus is a thick, muscular area. When it thickens, food is not able to pass through.

See: Pyloric stenosis

Alternative Names

Pyloromyotomy; Pyloric stenosis repair; Pyloroplasty

Description

The surgery is done while you are under general anesthesia (asleep and pain-free). The surgeon makes a cut around the belly button or in the upper right part of the belly. If the surgery is done laparoscopically, three smaller cuts are used.

The surgery involves cutting through some of the thickened muscle to relieve the narrowing (stenosis). The cut through the muscle is then closed horizontally to keep the pylorus open and allow the stomach to empty.

The surgery usually takes 1 - 2 hours.

Why the Procedure Is Performed

Pyloric stenosis is caused by a thickened pylorus muscle. It is usually found in infants.

Pyloroplasty is the only effective treatment for pyloric stenosis. It may also be used to treat certain patients with peptic ulcers or other types of gastric disease that cause a blockage of the stomach opening.

Risks

Risks of anesthesia include the following:

  • Reactions to medications
  • Problems breathing

Risks of any operation include the following:

  • Bleeding
  • Infection

Risks of this procedure:

  • Damage to the intestine
  • Hernia
  • Leakage of stomach contents
  • Long-term diarrhea
  • Malnutrition
  • Tear in the lining of surrounding organs (mucosal perforation)
After the Procedure

Most patients make a complete and quick recovery. The average hospital stay is 2 - 3 days. Most patients can gradually return to eating a regular diet in a few weeks.

Outlook (Prognosis)

After surgery, the health care team will monitor your breathing, blood pressure, temperature, and heart rate. Most patients can go home within 24 hours.

The results after pyloroplasty are excellent.

Reviewed By

Review Date: 11/05/2010

Shabir Bhimji MD, PhD, Specializing in General Surgery, Cardiothoracic and Vascular Surgery, Midland, TX. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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Wiki User

12y ago
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User Avatar

Wiki User

13y ago
Definition

Pyloroplasty is surgery to widen the opening in the lower part of the stomach (pylorus) so that the stomach contents can empty into the small intestine (duodenum).

See: Pyloric stenosis

Alternative Names

Pyloromyotomy; Pyloric stenosis repair

Description

The surgery is done while you are under general anesthesia (asleep and pain-free). The surgeon makes a cut around the belly button or in the upper right part of the belly. If the surgery is done laparoscopically, three smaller cuts are used.

The surgery involves cutting through some of the thickened muscle to relieve the narrowing (stenosis). The cut through the muscle is then closed horizontally to keep the pylorus open and allow the stomach to empty.

Why the Procedure Is Performed

Pyloric stenosis is caused by increased thickness of the pylorus muscle. It is usually found in young children.

Pyloroplasty is the only effective treatment for pyloric stenosis. It may also be used to treat certain patients with peptic ulcers or other types of gastric disease that cause a blockage of the stomach opening.

Risks

Risks of anesthesia include the following:

  • Reactions to medications
  • Problems breathing

Risks of any operation include the following:

  • Bleeding
  • Infection

Risks specific to this procedure:

  • Leakage of stomach contents
  • Long-term diarrhea
  • Malnutrition
  • Tear in the lining of surrounding organs (mucosal perforation)
After the Procedure

Most patients make a complete and quick recovery.

Outlook (Prognosis)

After surgery, the health care team will monitor your breathing, blood pressure, temperature, and heart rate. Most patients can go home within 24 hours.

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Wiki User

13y ago

Pyloroplasty is an elective surgical procedure in which the lower portion of the stomach, the pylorus, is cut and resutured, to relax the muscle and widen the opening into the intestine.

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Related questions

Why is pyloroplasty used?

Pyloroplasty is a treatment for high-risk patients for gastric or peptic ulcer disease.


What is cpt code 43800?

Pyloroplasty


What are some of the risks of pyloroplasty?

excessive bleeding


What is the purpose of a pyloroplasty?

peptic ulcer disease (PUD).A pyloroplasty is performed to treat the complications of PUD or when medical treatment has not been able to control PUD in high-risk patients.


What preparation is need for a pyloroplasty?

. Blood and urine studies, along with various x rays may be ordered as the doctor deems necessary.


How common are surgeries for gastric and peptic ulcers?

Vagotomy, antrectomy , pyloroplasty are surgeries for gastric and peptic ulcers, now very rare


What are the normal results of a pyloroplasty?

Complete healing is expected without complications. Recovery and a return to normal activities should take from four to six weeks.


What are the risks of a pyloroplasty?

Potential complications of this abdominal surgery include excessive bleeding, surgical wound infection, incisional hernia, recurrence of gastric ulcer, chronic diarrhea, and malnutrition


What is medical procedure code 43107?

CPT code; Surgery / Digestive System / Excision; Total or near total esophagectomy without thoracotomy; with pharngyogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal).


Nursing assesment post operative for Pyloroplasty?

Acute Pain aeb Surgical wound. Give Pain medications as scheduled. Provide a soothing, and quiet area. Have materials around so it distracts patients mind from pain.


What are the morbidity and mortality rates of pyloroplasty?

Successful treatment of Helicobacter pylori has improved morbidity and mortality rates.the prognosis for PUD,with proper treatment and avoidance of causative factors, is excellent.Morbidity and mortality are higher in patients with secondary ulcers.


What patient preparations are required for a pyloroplasty?

The patient will not be permitted to eat or drink anything after midnight the night before the procedure.cleansing enemas may be ordered to empty the intestine. If nausea or vomiting are present, a suction tube may be used to empty the stomach.