Pyloroplasty

Pyloroplasty is a surgical procedure that involves the enlargement of the pylorus, an opening in the stomach that allows food to pass into the small intestine. This procedure is typically performed to treat conditions such as peptic ulcer disease and gastroparesis, which can cause the pylorus to become narrow and obstruct the passage of food.

Indications

Pyloroplasty is indicated in patients with gastroparesis, a condition characterized by delayed gastric emptying, and in those with peptic ulcer disease, which can cause scarring and narrowing of the pylorus. It may also be performed in patients with gastric cancer to improve gastric emptying.

Procedure

During a pyloroplasty, the surgeon makes an incision in the pylorus and then sutures it in a way that leaves the pyloric opening wider than before. This allows food to pass more easily from the stomach into the small intestine. The procedure can be performed using either an open or laparoscopic approach.

Complications

Possible complications of pyloroplasty include infection, bleeding, and damage to nearby organs. In addition, some patients may experience dumping syndrome, a condition characterized by rapid gastric emptying, which can lead to symptoms such as nausea, vomiting, and diarrhea.

See also

• Gastroparesis
• Peptic ulcer
• Gastric cancer
• Dumping syndrome

References

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