Before surgery: Prior to surgery, blood tests will be checked to make sure your baby's fluid and electrolyte levels are where they need to be. During surgery: The thick pylorus muscle is cut which opens the muscle and allows food to pass out of the stomach. Just the muscle itself is cut, not the inner lining of the stomach. The surgery can be done one of two ways:. Laparoscopic pyloromyotomy: Three small incisions are made, and a camera is used to look in your baby's tummy.
Small tools are used to cut the pylorus. Open pyloromyotomy: An incision is made on the right side of your baby's tummy or around the belly button.
The surgeon then cuts the pylorus. Surgery risks and outcomes: As with any surgery, there are risk of complications from anesthesia, bleeding, infection, or damage to other organs. Sometimes, the inner lining of the pylorus may be cut. If this happens, it will be fixed. If the pylorus muscle is still too narrow, another surgery may be needed to cut it more.
However, complications are rare. There usually are no long-term problems after a successful surgery. After surgery, your baby will be allowed to eat by mouth. Infants should be given breast milk or formula every 3 to 4 hours, starting around 4 to 6 hours after the surgery.
Your surgeon will discuss the feeding plan with you after surgery. Know your baby may still have some vomiting, but it usually gets better after a few feedings. Most babies can go home from the hospital within one day after surgery. However, some may stay longer if they are not eating well. After leaving the hospital, your baby can go back to all normal activities, including tummy time. Know how to care for your baby's wound.
Keep surgical cuts on your baby's tummy clean and dry for 3 days. Afterwards, the wounds may be washed with soap and water but not soaked for about 7 days after surgery. Most of the time, the stitches used in children are absorbable and don't need to be taken out. After 3 days, your baby can go back to usual bath routines. Make any needed follow-up appointments.
Your baby's surgeon and pediatrician will want to make sure your baby is eating well, gaining weight, and recovering fully. Your baby gets a fever ; this could be a sign of a post-op infection.
In infants, a fever means a rectal temperature reading of Your baby is vomiting often or after most meals. This causes the opening of the pylorus to become narrow.
At the visit, write down the name of a new diagnosis and any new medicines, treatments, or tests. Also write down any new instructions your provider gives you for your child. Know why a new medicine or treatment is prescribed and how it will help your child. Also know what the side effects are. Know what to expect if your child does not take the medicine or have the test or procedure.
If your child has a follow-up appointment, write down the date, time, and purpose for that visit. This is important if your child becomes ill and you have questions or need advice. Search Encyclopedia. Pyloric Stenosis What is pyloric stenosis?
What causes pyloric stenosis? Pyloric stenosis is a birth defect. This means that your child is born with it. Pyloric stenosis is 4 times more common in males than females. Who is at risk for pyloric stenosis? A child is more likely to have this condition if the child: Takes certain medicines by mouth in the first 6 weeks of life.
Bottle-feeds early Has a family history of pyloric stenosis Is a boy, especially firstborn Is Caucasian Has a mother who smokes Is premature What are the symptoms of pyloric stenosis? Other symptoms may include: Weight loss Being very hungry despite vomiting Lack of energy Fewer bowel movements Constipation Frequent stools that contain mucous A baby with pyloric stenosis is often very hungry and wants to eat.
How is pyloric stenosis diagnosed? If there are no complications, most babies who have had pyloromyotomy can return to a normal feeding schedule and go home within 24 to 48 hours of the surgery.
If you're breastfeeding, you might worry about continuing while your baby is hospitalized. The hospital staff should be able to provide a breast pump and help you use it so that you can continue to express milk until your baby can feed regularly.
After a successful pyloromyotomy, your baby won't need to follow any special feeding schedules. Your doctor will probably want to examine your child at a follow-up appointment to make sure the surgical site is healing properly and that your baby is feeding well and maintaining or gaining weight. Pyloric stenosis should not happen again after a pyloromyotomy. If your baby still has symptoms weeks after the surgery, there might be another medical problem, such as gastritis or GER, so let your doctor know right away.
Pyloric stenosis is an urgent condition that needs immediate treatment. Call your doctor if your baby:. Reviewed by: J. Fernando del Rosario, MD. Gastroenterology at Nemours Children's Health.
Larger text size Large text size Regular text size. What Is Pyloric Stenosis? What Happens in Pyloric Stenosis? What Causes Pyloric Stenosis? Symptoms of pyloric stenosis typically begin when a baby is around 3 weeks old.
They include: Vomiting. The first symptom is usually vomiting. At first it may seem that the baby is just spitting up often, but then it tends to become projectile vomiting , in which the breast milk or formula is ejected forcefully from the mouth, in an arc, sometimes over a distance of several feet. Idiopathic hypertrophic pyloric stenosis in the adult: a review of the literature and the report of two cases.
Arch Surg. Simple and complicated hypertrophic pyloric stenosis in the adult. Hypertrophic pyloric stenosis in the adult. Ann Surg. Hypertrophic pyloric stenosis in adults.
Laparoscopic pyloroplasty in idiopathic hypertrophic pyloric stenosis in an adult. Idiopathic hypertrophic pyloric stenosis in an adult, a potential mimic of gastric carcinoma. Patholog Res Int. Adult hypertrophic pyloric stenosis. Am Surg. Journal of primary hypertrophic pyloric stenosis in the adult. Wiley Online Library [Internet].
Adult idiopathic hypertrophic pyloric stenosis. J Formos Med Assoc. A morphologic study of the myenteric plexus and musculature of the pylorus with special reference to the changes in hypertrophic pyloric stenosis. Surg Gynecol Obstet. Radiological and pathological observations in a series of seventeen cases of hypertrophic pyloric stenosis of adults.
BJR Suppl. Infantile hypertrophic pyloric stenosis. JSLS [Internet]. Gastrointest Endosc. Support Center Support Center. External link. Please review our privacy policy.
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