Doctor insights on:
Pyloric Stenosis Complications After Surgery
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
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
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
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
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
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
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
What do you suggest if my son was diagnosed with pyloric stenosis at three weeks he had the pyloromyotomy any complications?
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
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
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
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
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
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
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
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
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
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
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
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