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Doctor insights on: Pyloric Stenosis Complications After Surgery

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What problems can occur after Pyloric Stenosis Surgery 17 years after the surgery?

What problems can occur after Pyloric Stenosis Surgery 17 years after the surgery?

Scar, obstruction: Any surgery can leave scarring at the site : post-surgical narrowing would cause more of the same problem that the original stenosis caused, but would occur within a few weeks to months, very unlikely to cause issues 17 years later! ...Read more

Pyloric Stenosis (Definition)

A condition in which the pyloric muscle thickens and closes off the outlet to the stomach. This causes vomiting which lead to dehydration. It happens usually between two to eight weeks of age. ...Read more


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Infant recovery after pyloric stenosis surgery, what to do?

Infant recovery after pyloric stenosis surgery, what to do?

Follow advice: Now that the scariest part is over, it is important that you follow your post-op instructions to the letter (these should have been provided to you upon discharge, if not, contact your surgeons office for a copy), keep your follow up appointment, and watch for symptoms of stenosis recurrence (this is uncommon, but CAN happen). ...Read more

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Pyloric stenosis reconstructive surgery, what is this like?

Pyloric stenosis reconstructive surgery, what is this like?

Open stenosis: If there is stenosis and a bypass of small bowel to stomach not employed then a pyloroplasty performed. A vertical incision just above pylous extending to upper duodenum and about 5cm is created thru mucosa into muscular layer. It is then closed in a transverse direction where the top of the incision is brought midline to the lower incision opening the stenosis. ...Read more

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

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

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

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My son had pyloric stenosis and had surgery on9/12/14 he now is always crying like he is in pain, won't bring up wind and only poo's every 2-3 days,??

Recurrence risk: Although a small percentage of children treated for pyloric stenosis will develop a recurrence following surgery, the symptoms you have described are not typical of an upper GI obstruction but more of a lower one. Your pediatrician or surgeon should be advised of the new development and would most likely ask you to schedule an in person consultation. Best wishes. ...Read more

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What to do if I have corrective surgery for pyloric stenosis scar tissue?

What to do if I have corrective surgery for pyloric stenosis scar tissue?

Hope it works: Hi. What caused the scarring of the pylorus? Gastritis? Ulcers? It the corrective surgery via endoscopy (I hope!)? The issue is always that when you dilate or lyse scar tissue, it can reform. Good luck! ...Read more

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What happens if anyone has had reconstructive or cosmetic surgery to repair the scar from having pyloric stenosis as a baby?

What happens if anyone has had reconstructive or cosmetic surgery to repair the scar from having pyloric stenosis as a baby?

Which scar: I assume you are talking about the abdominal wall scar. There will be no effect other than having a different looking scar and hopefully more pleasing to you. ...Read more

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I have pyloric stenosis surgery as a child and now I am 32. I have mild but daily heart burn. Anything I should be aware of or do to correct this iss?

I have pyloric stenosis surgery as a child and now I am 32. I have mild but daily heart burn.  Anything I should be aware of or do to correct this iss?

Chronic Gerd.: You should see your doctor, or preferably a gastroenterologist, since your symptoms are occurring daily. Given your childhood history, the G.I. doctor may recommend that you have an EGD to look at the end of the stomach and see if there is any problem with outflow from the stomach. I suspect you may have just garden-variety acid reflux, however. Good luck. ...Read more

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My son was diagnosed with pyloric stenosis, needs pyloromyotomy any complications?

My son was diagnosed with pyloric stenosis, needs pyloromyotomy any complications?

Fortunately, rarely: Pyloric stenosis is treated with pyloromyotomy- surgery to spread the thickened muscle fibers apart and open the channel so food can exit. Complications are very uncommon but include bleeding, infection of the skin incision, perforation, incomplete opening of the muscle. Even after surgery some babies continue to have vomiting from reflux or gastritis- but overall surgery is very safe! ...Read more

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My son was diagnosed with pyloric stenosis at three weeks he had the pyloromyotomy. Any complications I should expect?

My son was diagnosed with pyloric stenosis at three weeks he had the pyloromyotomy. Any complications I should expect?

Rare: Pyloromyotomy for pyloric stenosis is a pretty effective procedure. As long as fluid and electrolyte imbalance is corrected prior to surgery and it is done correctly complications are rare. Inadequate division of the fibers may lead to a persistent obstruction. Too deep of a dissection may lead to leakage. These are rare circumstances ...Read more

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What do you suggest if my son was diagnosed with pyloric stenosis at three weeks he had the pyloromyotomy any complications?

What do you suggest if my son was diagnosed with pyloric stenosis at three weeks he had the pyloromyotomy any complications?

Rare: Complications are rare. This operation is a simple operation and if performed by a capable pediatric surgeon should have little or no complications. Wound infection would be the most common if anything happens at all. Good luck. ...Read more

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What are some possible complications after pyloric stenosis?

Usually few, if any: Pyloric stenosis surgery very seldom has complications. Generic complications can occur, such as wound infection or minor scarring. The key problem to recognize and fix during the operation is perforation of the duodenal mucosa. One cuts thru the thickened pyloric muscle fibers to open up the outlet of the stomach, but if one cuts all the way into the lumen, it must be recognized and repaired. ...Read more

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How long do you normally have to wait to get a bowel movement after a pyloric stenosis surgery?

How long do you normally have to wait to get a bowel movement after a pyloric stenosis surgery?

Within 24 hours: After surgical repair of pyloric stenosis the infant will start eating within 4-6 hours. As the volume of feeds increases to what it was prior to the onset of pyloric symptoms normal bowel movements will follow. ...Read more

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Could people with pyloric stenosis have children?

Could people with pyloric stenosis have children?

Yes: Once repaired the rest of anatomy and life can be normal. ...Read more

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What is the chance of a new child having pyloric stenosis?

Gender/Race involved: Hypertrophic pyloric stenosis (hps) is more common in boy babies & white babies. There is a 1 in 300 chance of a white baby boy developing hps. It is 5 times more common in boys than girls & 5 times more common in whites than blacks. Therefore, it is most commonly seen in white baby boys & least commonly seen in black baby girls. ...Read more

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Should i be worried if I had pyloric stenosis when I was little?

Should i be worried if I had pyloric stenosis when I was little?

Probably not: Hypertrophic pyloric stenosis (HPS) affects babies in the first few weeks of life. After surgical correction with pyloromyotomy, babies are basically normal. They can feed fine, and the stomach empties fine. It would be very unusual for a middle-aged adult to have problems referable to having had HPS as a baby. ...Read more

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What are values that correspond with the diagnosis of pyloric stenosis?

What are values that correspond with the diagnosis of pyloric stenosis?

Several: Most values are usually of a chemical or electrolyte nature. Vomiting causes losses of chloride, potassium. Hypokalemic, hypochloremia are the classis values when a blood assay is done. ...Read more

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Can pyloric stenosis be fatal?

Very rare: Pyloric stenosis can be corrected in most cases, condition is serious. Infants who are not diagnosed quickly are at increased risk for developing further stomach irritation, dehydration, and electrolyte loss. They may experience shock (extremely low blood pressure), malnutrition, and stunted growth. Death from pyloric stenosis is rare, but can occur if symptoms continue for too long. ...Read more

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Could pyloric stenosis 'come back'?

Ususally not: I have seen one case of recurrent hypertrophic pyloric stenosis in forty years. I do not know whether initial surgery was insufficient or exact reason for this occurrence. ...Read more

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Is it possible for pyloric stenosis to 'come back'?

Usually not: Hypertrophic pyloric stenosis (hps) in a young baby is treated with an operation called a pyloromyotomy. The hypertrophic circular pyloric muscle fibers are split to open the pylorus & allow the stomach to empty. If done well & thoroughly, hps should not return. One occasionally hears of a case of recurrent hps, but often, when looked at closely, it was an inadequate pyloromyotomy to begin with. ...Read more

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Can you tell me pyloric stenosis long term effects?

Usually fine: Usually once diagnosis is made and patient has surgery, pyloromyotomy the outcome is very good with resumption of normal feedings. Rarely does this condition recur. Deformity of narrow pylorus remains but surgery widens enough for liquids and chewed foods to pass.if child swallows foreign body such as coin or marble, prolonged retention in stomach occurs because exit from stomach not large enough. ...Read more

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How to deal with pyloric stenosis in an 18-year-old?

Not pyloric stenosis: I wouldn't think of pyloric stenosis in a 18yo, as it is a condition we see early in infancy. It is extremely uncommon after 6 months of age. Many other conditions can cause vomiting or abnormal emptying of the stomach for a teen-- from stress triggered vomiting, to gastric ulcers to outlet obstruction from other tissues around the stomach. You may want to have the problem more fully evaluated. ...Read more

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Why does pyloric stenosis rarely occur in premature infants?

Why does pyloric stenosis rarely occur in premature infants?

Too early: Pyloric stenosis is poorly understood, requires a period of growth for the muscle to get thick enough and long enough to cause obstruction. It does occur in ex-premature infants who may present at an older age like 2-3 months depending upon how premature. ...Read more

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What would cause a child to develop pyloric stenosis after birth?

Pyloric stenosis: Nothing causes it, it's unfortunately one of those things that you are born with. Genes can potentially play a role. ...Read more

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Docs with experience dealing with pyloric stenosis, how hard is it?

Pediatric surgeon: Pediatric surgeons deal with pyloric stenosis every day. It is simple to diagnose and treat. Needs surgery to open muscle, but hospital stay is short 1-2 days. ...Read more

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What problems can result from a late diagnosis of pyloric stenosis in infants?

Severe dehydration: If a baby has delayed diagnosis of pyloric stenosis the baby may have profound dehydration and metabolic alkalosis. Thankfully with directed rehydration over hours to days this can be corrected and then the baby can undergo surgery to repair the problem. ...Read more

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What is the difference between pyloric stenosis and hypertrophic pyloric stenosis?

What is the difference between pyloric stenosis and hypertrophic pyloric stenosis?

Same entity: Some use the optional discriptor "hypertrophic" as an add on to pyloric stenosis. Ps is by caused by an overgrowth and tightening of the muscles surrounding the pyloric region of the small intestine. As such the "hypertrophic" is a redundant term. Some do a similar thing by saying yellow jaundicde when jaundice would be sufficient. ...Read more

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What is pyloric stenosis?

What is pyloric stenosis?

Stomach exit blockag: In a baby with hypertrophic pyloric stenosis (HPS), the circular pyloric muscle fibers which regulate the emptying of the stomach become swollen ("muscle-bound") usually between 2 and 8 weeks' age. The pyloric channel becomes blocked, and fluid cannot exit the stomach. The baby has progressive projectile nonbilious vomiting which can cause dehydration and weight loss if uncorrected. ...Read more

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Can pyloric stenosis return?

Can pyloric stenosis return?

Usually not: Hypertrophic pyloric stenosis (HPS) in a young baby is treated with an operation called a pyloromyotomy. The hypertrophic circular pyloric muscle fibers are split to open the pylorus & allow the stomach to empty. If done well & thoroughly, HPS should not return. One occasionally hears of a case of recurrent HPS, but often, when looked at closely, it was an inadequate pyloromyotomy to begin with. ...Read more

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What causes pyloric stenosis?

Not known for sure: Causes are unknown, but some genetic and environmental factors probably. Higher rates among certain families and offspring of mothers who with pyloric stenosis. Pyloric stenosis occurs more often in males than in females. Early antibiotic use in infants and during pregnancy of mothers may play role.3 out of 1,000 babies in US.4 x more in 1st born males.If in parent then infant 20% chance ...Read more

Stricture (Definition)

A stricture is an anatomic narrowing of any structure in the body with a lumen. Depending on the organ, the underlying causes can be traumatic, ...Read more


Dr. Scott Keith
1 doctor shared a insight

Stenosis (Definition)

Constriction or narrowing of something - duct, artery, passage way such as the outlet of the stomach into the small ...Read more