Child-Pyloric stenosis - Treatment

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dr. simi paknikar
Medically Reviewed by dr. simi paknikar, MD
Last Updated on Sep 24, 2014
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How can Pediatric Pyloric Stenosis be treated?

Pediatric pyloric stenosis is corrected surgically by a procedure called pyloromyotomy.

Management of pediatric pyloric stenosis involves -

  • The baby needs to be admitted and any dehydration or electrolyte problems are corrected by transfusion of IV fluids.
  • After this is achieved, a surgery called pyloromyotomy is required. Under general anesthesia, through a small cut in the tummy, the muscle fibers blocking stomach outlet are divided, allowing the passage of food from the stomach to the intestine.

Most babies are able to return to normal feeds usually within 3-4 hours after the surgery. Sometimes, the baby may still continue to vomit for a day or two after the surgery due to swelling at the operation site.

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There are many PS cases that don't fit these "rules": girl babies and later children also get the condition. There are other general characteristics of PS that also have many exceptions: it affects more Caucasians, children with blood groups A and O, children of mothers who were stressed during the last months of pregnancy.
If your baby is not keeping food down, vomits increasingly and powerfully, is losing weight and/or condition, is not passing motions and urine, suspect PS, get your baby tested, don't be put off by an unsuspecting and ill-informed doctor. On the internet there are many stories of children being treated only just before it's too late.

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