Usually diagnosed in infants, pyloric stenosis occurs when the lower part of the stomach becomes narrow. When the pylorus is thick, food is not able to pass and the infant starts to vomit. The vomiting typically occurs after each feeding. Pyloroplasty is the surgical widening of the stomach that has become narrow. The procedure can also be used to treat gastrointestinal conditions that block the pylorus, such as peptic ulcers.
The lower portion of the stomach, the pylorus, is thick and muscular. When it narrows, or becomes more thickened, food cannot pass from the stomach to the small intestine. Pyloroplasty is used to widen the passage so that food can move down the gastrointestinal tract.
At Florida Hospital, surgical widening of the stomach can be performed through a minimally invasive laparoscopic procedure. Instead of opening the abdomen, surgeons use three small cuts and specialized instruments to perform the surgery. This also reduces risk and trauma to the body. The thickened muscles are gently split with special instruments and this immediately relieves the blockage.
What is the Prognosis of Pyloroplasty?
The prognosis for pyloroplasty is very good. The surgery is usually very effective and results are excellent. Surgery cures the disorder in almost all infants. Patients usually make a fast and comprehensive recovery after surgery, especially after the laparoscopic procedure at Florida Hospital.
After pyloroplasty surgery, patients may recover in the hospital for two or three days, but most can leave within 24 hours as long as they do not vomit or are not dehydrated. After going home, patients may be on a restricted diet for a few weeks, but can be back to normal food quickly.