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Pyloric Stenosis

Diagnosis, symptoms, and treatment methods.

General Information About Pyloric Stenosis

Infantile pyloric stenosis is the abnormal thickening (hypertrophy) of the pyloric muscle, which is the gateway to the intestines at the lower part of the stomach, in the first weeks after birth, obstructing the passage of food. It presents in infants with projectile, non-bilious vomiting immediately after feeding and weight loss. In our Pediatric Surgery department, it is diagnosed via ultrasound and permanently treated with a brief surgical procedure called 'Pyloromyotomy'.

Disease Details and Frequently Asked Questions

You can access detailed information about the disease under the headings below.
What is Pyloric Stenosis?

It is the condition where the muscle surrounding the gateway (pyloric canal) between the stomach and the duodenum becomes excessively thick and rigid (like an olive), closing the canal and preventing the stomach from emptying.

At What Age and In Whom Is It Seen?

Everything is normal at birth. Symptoms generally begin 3 to 5 weeks after birth. It is 4-5 times more common in male infants, especially the first-born male child of a family, than in females.

What is the Characteristic of the Vomiting (Projectile)?

It is different from reflux vomiting. Because of the blockage, pressure builds up in the stomach, and shortly after the baby feeds, they violently projectile vomit the milk meters away. There is never bile (green/yellow color) in the vomit, only milk.

Is It an Emergency for the Baby?

Because food cannot pass into the intestine and is constantly vomited, the baby very quickly loses fluids, acid, and minerals (chlorine), entering a state of severe dehydration shock; therefore, it requires emergency intervention.

What is the 'Olive' Sign and How Is It Diagnosed?

When the baby feeds, rippling contractions of the stomach can be seen from the outside. When the surgeon examines the abdomen, the pyloric muscle may feel like an olive. Definitive diagnosis is made by millimetric measurement of the thickened muscle using Abdominal Ultrasonography.

How Is the Surgery (Pyloromyotomy) Performed?

After the baby's fluid and salt balance is corrected with an IV, they are taken to surgery. Through laparoscopic or open methods, a small incision is made in that area of the stomach, and the thickened muscle is scored (cut) longitudinally to relax it. The baby can start feeding the same day and is fully cured.

Our health library contents are prepared for informational purposes only and with scientific data available at the time of recording. For all your questions, concerns, diagnosis, or treatment regarding your health, please consult your doctor or a healthcare institution.


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