Does infant pyloric stenosis always need surgery? or can it go away on its own?

Yes: Pyloric stenosis does always require surgery.As time passes the muscle become more and more developed and less and less can leave the stomach into the intestine. Without surgery, the baby will vomit, eventually dehydrate and become critical. Early detection and surgery makes the abnormality easier to treat. Few day recovery.

Almost Always and No: Pyloric stenosis is caused by hypertrophy of the pylorus muscle blocking passage of food from the stomach; leads to severe dehydration, weight loss, electrolyte disturbances & more. Does not resolve on its own. Surgical correction is the standard treatment & cure. Nonsurgical treatment with Atropine Sulfate has been used when surgery is not safe however surgery remains the gold standard treatment.

Pyloric stenosis: This is typically treated with a surgical procedure to open the channel for the food to pass into the small intestine.

Surgery vs medical: Treatment in United States is operation or surgery with a splitting of the pyloric muscle longitudinally, so called pyloromyotomy commonly performed with laparoscope. Usually discharged in a day. Mainly in Europe medical treatment is performed with intravenous atropine. Hospital stay is longer with medical therapy averaging about 13 days. With pyoromyotomy usually a one day stay.