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The pyloromyotomy is primarily indicated by the presence of hypertrophic pyloric stenosis. [5] [1] Hypertrophic Pyloric stenosis is a gastrointestinal tract defect, most commonly seen in young children, typically in the first few months of life, caused by enlargement of the tissue in the pyloric muscle.
Pyloric stenosis as seen on ultrasound in a 6-week-old [13] Diagnosis is via a careful history and physical examination, often supplemented by radiographic imaging studies. Pyloric stenosis should be suspected in any infant with severe vomiting. On physical exam, palpation of the abdomen may reveal a mass in the epigastrium.
A minimally invasive, laparoscopic approach is preferred, often combined with a partial fundoplication to prevent gastroesophageal reflux (GERD) post-surgery. [1] Pyloromyotomy: Performed to treat pyloric stenosis, particularly in infants. This procedure involves cutting the hypertrophied pyloric muscle to enable normal gastric emptying. [2]
Paediatric surgery: A gastrointestinal tract surgery to treat infants with biliary atresia [5] Kausch–Whipple procedure: Walther Kausch, Allen Whipple: Upper gastrointestinal surgery: Radical pancreaticoduodenectomy used to treat cancer of the head of the pancreas: Kausch–Whipple operation at Whonamedit? Keller's excision arthroplasty ...
In children, congenital pyloric stenosis / congenital hypertrophic pyloric stenosis may be a cause. A pancreatic pseudocyst can cause gastric compression. Pyloric mucosal diaphragm could be a rare cause. Malignant Tumours of the stomach, including adenocarcinoma (and its linitis plastica variant), lymphoma, and gastrointestinal stromal tumours
On 3 February 1910 he performed the first pyloromyotomy, a surgery to correct congenital hypertrophic pyloric stenosis, the congenital narrowing of the path between the stomach and the intestines in infants. However, the procedure is named for Dr. Wilhelm Ramstedt, who did the surgery seventeen months later on 28 July 1911. [18]
Subspecialties of pediatric surgery itself include: neonatal surgery and fetal surgery. Other areas of surgery also have pediatric specialties of their own that require further training during the residencies and in a fellowship: pediatric cardiothoracic (surgery on the child's heart and/or lungs, including heart and/or lung transplantation), pediatric nephrological surgery (surgery on the ...
Cases without distal gas are usually related to duodenal atresia, while high obstruction with distal gas need an upper gastrointestinal series because of the need to distinguish duodenal web, duodenal stenosis and annular pancreas from midgut volvulus, the latter being a surgical emergency. Confirmation is ultimately by surgical intervention. [6]