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Pyloric Stenosis

Pyloric stenosis is a condition where the pyloric sphincter muscles in infants' stomachs become enlarged, preventing food from exiting the stomach. Common symptoms include projectile vomiting shortly after feeding. While medications can help manage symptoms, surgery involving making an incision in the thickened pyloric muscle is often required for treatment and allows the infant to feed normally again soon after.

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2K views2 pages

Pyloric Stenosis

Pyloric stenosis is a condition where the pyloric sphincter muscles in infants' stomachs become enlarged, preventing food from exiting the stomach. Common symptoms include projectile vomiting shortly after feeding. While medications can help manage symptoms, surgery involving making an incision in the thickened pyloric muscle is often required for treatment and allows the infant to feed normally again soon after.

Uploaded by

reshmivunni
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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PYLORIC STENOSIS DEFINITION Pyloric stenosis is the hypertrophy of sphincter muscles of the pylorus.

CAUSES o Previous duodenal ulceration o Carcinoma o Seen most often in firstborn children SIGNS AND SYMPTOMS o o o o Projectile vomiting Vomiting is followed immediately by eagerness to take food Loss of weight The peristaltic waves can be seen across abdomen passing from right to left and reverse immediately prior to vomiting o Symptoms usually appear in the second or third week of life and seldom develop after 3-4 months of age. o Tumor mass may be felt in the RUQ of the infants abdomen. MANAGEMENT MEDICAL MANAGEMENT Small amounts of sedative drugs such as Phenobarbital or the alkaloids of belladonna such as atropine are given in regular doses several times a day, usually preceding meals. Small frequent feed and cereals may be substituted for some of the milk, since solid foods are less easily vomited. Provide quiet and relaxed environment to the infant. Provide extra warmth to infant. Very gentle rocking prior and immediately following meals to avoid the infant becomes upset.

SURGICAL MANAGEMENT

Pylorotomy or Ramstedt operation It consists of infusion in to the sphincter muscle of the pylorus. NG tube is passed and gastric contents are aspirated just prior to surgery. Since only the muscle layers are cut and the stomach is not entered during surgery, permit the infant to have water and sometimes formula as soon as he /she reacted completely from the anesthesia.

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