Congenital Pyloric Stenosis - Pediatric Treatment

Congenital Pyloric Stenosis

Overview

Congenital Pyloric stenosis (also called hypertrophic pyloric stenosis) is the definition of an infant born with a thick and muscle surrounding the muscles that encapsulate the outlet of the stomach that attaches to the small intestine. This outlet is the area where stomach contents pass into the small intestines. In infants, in spite of apparent good appetite and ability to eat, the condition causes vomiting immediately after feeding or within several hours. If not treated, the vomiting often turns into projectile vomiting due to the blockage and the inability of food to pass through the stomach into the small intestine.

As a result, babies can lose weight, or fail to gain weight. Dehydration is likely, and bowel movements are infrequent and difficult. Mothers should report the vomiting, and especially projectile vomiting to their doctors and pediatricians as soon as possible.

Pyloric Stenosis Treatment

The condition, causing constriction or enlargement of muscles that encircle the outlet at the end of the stomach mainly affect the muscular two or pyloric is that carries food from the stomach into the small intestine.

In infants suspected of pyloric stenosis, a physical exam, ultrasound, and or a barium swallow x-ray may be performed in order to confirm the diagnosis.

The most common treatment for pyloric stenosis is surgery. Pyloric stenosis surgery is one of the most commonly performed in infants. The actual surgical procedure is called a pyloromyotomy. Prior to surgery, the doctor or pediatrician will make sure the baby remains hydrated with electrolyte solutions or by intravenous or IV infusion. During the pyloric stenosis surgical procedure, the infant will be placed under general anesthesia. The abdominal area is open, and the thickened muscle surrounding the outlet between the stomach and the small intestine will be cut, allowing for a wider "mount".

Following the surgery, the infant is fed, with amounts of food/liquid gradually increasing while doctors and pediatricians in short that food is moving naturally and properly from the stomach into the small intestine. In most cases, infants make a quick and full recovery.

Following a surgical procedure, a firm ridge often appears over the incision site, but this is normal, healthy, and requires no treatment. Infants are often discharged within one to two days following the procedure.

Who Performs Pyloric Stenosis Surgery?

Pediatric surgeons generally perform pyloric stenosis surgery, as do general surgeons. Pediatric surgeons or pediatricians are required to undergo basic medical training in addition to 4 to 8 years of postgraduate training in pediatrics. A 3 to 4 year university degree is typically followed by that additional 3 to 5 years in internship and residency.

Pediatric surgeons may specialize in neonatal surgery, oncology, and typical medical staff subspecialties such as ear, nose and throat, cardiac care, endocrine systems, or genetics. Members of pediatric surgical associations and organizations are required to maintain their professional standing, obtain a lifelong learning and self-assessment education, complete cognitive expertise through examinations and licensing and undergo periodic evaluation for performance in practice.

Accredited and certified surgeons should belong to the American Pediatric Surgical Association or other similar organizations or boards in the surgeon’s country of origin. Always verify the education, training and experience of any surgeon who may perform surgery and make sure they are licensed to practice in the facility of your choice.

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