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Pyloroplasty

Definition

Pyloroplasty is surgery to widen the opening in the lower part of the stomach (pylorus) so that stomach contents can empty into the small intestine (duodenum).

The pylorus is a thick, muscular area. When it thickens, food cannot pass through.

Alternative Names

Pyloroplasty

Description

The surgery is done while you are under general anesthesia (asleep and pain-free).

The surgeon makes a cut in the belly area. If the surgery is done using a laparoscope, three smaller cuts are made instead.

The surgeon cuts through some of the thickened muscle so it becomes wider.

The cut is then closed in a way that keeps the pylorus open. This allows the stomach to empty.

The surgery usually takes 1 - 2 hours.

Why the Procedure Is Performed

Pyloroplasty is used to treat complications in patients with peptic ulcers or other stomach problems that cause a blockage of the stomach opening.

Risks

Risks of anesthesia include:

  • Reactions to medications
  • Problems breathing

Risks of any surgery include:

  • Bleeding
  • Infection

Risks of this procedure:

  • Damage to the intestine
  • Hernia
  • Leakage of stomach contents
  • Long-term diarrhea
  • Malnutrition
  • Tear in the lining of nearby organs (mucosal perforation)

After the Procedure

Most patients recover quickly and completely. The average hospital stay is 2 - 3 days. Most patients can slowly begin a regular diet in a few weeks.

Outlook (Prognosis)

After surgery, the health care team will monitor your breathing, blood pressure, temperature, and heart rate. Most patients can go home within 24 hours.


Review Date: 12/10/2012
Reviewed By: Robert A. Cowles, MD, Associate Professor of Surgery, Yale University School of Medicine, New Haven, CT. Review provided by VeriMed Healthcare Network. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, David R. Eltz, and Stephanie Slon.
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