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 NamesPyloromyotomy; Pyloric stenosis repair; Pyloroplasty
DescriptionThe 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 PerformedPyloric 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.
RisksRisks of anesthesia include the following:
Risks of any operation include the following:
Risks of this 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 ByReview 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.
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 NamesPyloromyotomy; Pyloric stenosis repair
DescriptionThe 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 PerformedPyloric 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.
RisksRisks of anesthesia include the following:
Risks of any operation include the following:
Risks specific to this 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.
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.
Pyloroplasty is a treatment for high-risk patients for gastric or peptic ulcer disease.
Pyloroplasty
excessive bleeding
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.
. Blood and urine studies, along with various x rays may be ordered as the doctor deems necessary.
Vagotomy, antrectomy , pyloroplasty are surgeries for gastric and peptic ulcers, now very rare
Complete healing is expected without complications. Recovery and a return to normal activities should take from four to six weeks.
Potential complications of this abdominal surgery include excessive bleeding, surgical wound infection, incisional hernia, recurrence of gastric ulcer, chronic diarrhea, and malnutrition
CPT code; Surgery / Digestive System / Excision; Total or near total esophagectomy without thoracotomy; with pharngyogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal).
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.
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.
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.