0
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:
- 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)
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.
What else can I help you with?
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.
Why is pyloroplasty used?
Pyloroplasty is a surgical procedure used to widen and relax the pyloric valve at the outlet of the stomach. It is commonly performed to treat gastric outlet obstruction, often caused by conditions like peptic ulcers, pyloric stenosis, or certain types of cancer. By enlarging the pyloric valve, pyloroplasty helps to improve the passage of food from the stomach to the small intestine, relieving symptoms like nausea, vomiting, and abdominal pain.
How common are surgeries for gastric and peptic ulcers?
Vagotomy, antrectomy , pyloroplasty are surgeries for gastric and peptic ulcers, now very rare
What preparation is need for a pyloroplasty?
. Blood and urine studies, along with various x rays may be ordered as the doctor deems necessary.
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).
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.
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 is the medical term meaning narrowing of the pyloric sphincter?
Pylororrhaphy is the medical term meaning suture of the pyloric valve. A related term, pyloroplasty, means surgical repair of the pyloric valve.
