Pyloric Stenosis

Pyloric Stenosis: causes, symptoms and treatment methods

Pyloric Stenosis is a violation of the patency of the pyloric section of the stomach, which occurs due to hypertrophy of the pyloric sphincter. This condition can cause the passage of stomach contents into the duodenum to slow, causing repeated bouts of vomiting, as well as visible dilatation and movement of the stomach. If pyloric stenosis persists in a person for a long time, he begins to lose weight, he experiences dehydration and develops alkalosis.

There are two types of pyloric stenosis: congenital hypertrophic pyloric stenosis and acquired pyloric stenosis in adults.

Congenital hypertrophic pyloric stenosis develops in children aged approximately 3-5 weeks, more often in boys, and is characterized by hypertrophy of the pyloric sphincter. As a result, the passage of food through the stomach is slowed down, and the child may experience repeated bouts of vomiting. To treat the patient, a surgical operation is performed - pyloromyotomy (Ramstedt operation). Usually after it there is a complete recovery, and relapses of this condition do not occur.

Acquired pyloric stenosis in adults develops either as a result of a peptic ulcer located near the pylorus, or as a result of any malignant neoplasm invading the area of ​​the pylorus. In case of pyloric stenosis caused by a peptic ulcer, it is necessary to treat the existing ulcer with the help of antisecretory drugs. The pylorus is also expanded using a special balloon, and it is surgically removed or bypassed (see Gastroenterostomy). In the case of an existing malignant neoplasm causing pyloric obstruction, surgical removal is necessary.

Symptoms of pyloric stenosis may include repeated episodes of vomiting, which may contain food eaten more than 24 hours ago, visible dilatation and movement of the stomach, weight loss, dehydration, and the development of alkalosis.

Overall, pyloric stenosis is a serious condition that can lead to serious complications. Treatment should be immediate and should be carried out by specialists in the field of surgery and gastroenterology. Seeking medical attention promptly can help prevent possible complications and promote a full recovery.

If you suspect pyloric stenosis, contact your doctor for diagnosis and treatment. The symptoms of this disease can be similar to other gastrointestinal disorders, so an accurate diagnosis can only be made after the necessary research.

One of the methods for diagnosing pyloric stenosis is ultrasound examination of the stomach and pylorus. This method allows you to determine the presence of hypertrophy of the pyloric sphincter and assess the degree of gastric obstruction.

Treatment for pyloric stenosis may include surgery, drug therapy, or a combination of these methods. In the case of congenital hypertrophic pyloric stenosis, pyloromyotomy is usually performed - cutting the hypertrophied pyloric sphincter to restore gastric patency. For acquired pyloric stenosis in adult patients, treatment may include the use of antisecretory drugs, surgical removal or shunting of the pylorus, as well as other methods aimed at eliminating the cause of the disease.

In conclusion, pyloric stenosis is a serious condition that requires immediate treatment. Seeking medical help early can help avoid possible complications and promote a full recovery. If you suspect you have pyloric stenosis, contact your doctor for a diagnosis and to determine the most effective treatment.

Pyloric stenosis is a violation of the patency of the pyloric part of the stomach, caused by hypertrophy of the pyloric sphincter. This leads to a slowdown in the passage of stomach contents into the duodenum, causing repeated bouts of vomiting (sometimes the vomit contains food eaten by a person more than 24 hours ago). In addition, a person sometimes experiences visible expansion and movement of the stomach. If pyloric stenosis persists in a person for a long time, he begins to lose weight, he experiences dehydration and develops alkalosis.

Congenital hypertrophic pyloric stenosis develops in children aged approximately 3-5 weeks (usually in boys) and is characterized by hypertrophy of the pyloric sphincter, which can be felt as a small lump. For treatment, the patient undergoes a surgical operation - pyloromyotomy (Ramstedt operation). Usually after it there is a complete recovery, and relapses of this condition do not occur.

Pyloric stenosis in adults develops either as a result of a peptic ulcer located near the pylorus, or as a result of any malignant neoplasm invading the area of ​​the pylorus. In case of pyloric stenosis caused by a peptic ulcer, it is necessary to treat the existing ulcer with the help of antisecretory drugs. The pylorus is also expanded using a special balloon, and it is surgically removed or bypassed (see Gastroenterostomy). In the case of an existing malignant neoplasm causing pyloric obstruction, surgical removal is necessary.

Pyloric stenosis is a congenital condition characterized by obstruction of the gastric outlet and accompanied by vomiting in infants up to three to five weeks of age. The frequency of this pathology is about 1% of newborns. In most cases, it occurs predominantly in boys[2]. However, it is worth considering the likelihood of pyloric stenosis in both men and women

First of all, it is worth paying attention to the method of surgical intervention for stenosis of the pyloric sphincter. An operation performed by pediatric surgeons that involves cutting a muscle called the pyloric sphincter is called a pylorotomy. In adults, this operation is no longer performed, since its significant disadvantage is that after a fairly short period the muscle narrows again. Therefore, many specialists prefer to perform an operation called pyloromitotomy, in which the muscles are shortened, but the tissue covering the digestive tract is not damaged.

Do not panic when you hear this topic or discover the described diagnosis in your child. Today, medicine has made great strides forward and by staying up to date with modern surgical technologies, the chances of recovery are significantly increased.