Laparoscopic pyloroplasty in idiopathic hypertrophic pyloric stenosis in an adult

Idiopathic hypertrophic pyloric stenosis, in adults, is a rare disease. Partial gastrectomy, gastroenterostomy, pyloromyotomy, pyloroplasty and endoscopic dilatation have all been recommended with variable results. A 54-year-old white female is presented with the onset of symptoms of idiopathic hype...

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Bibliographic Details
Published in:Journal of the Society of Laparoendoscopic Surgeons 2000-04, Vol.4 (2), p.173-175
Main Authors: Danikas, D, Geis, W P, Ginalis, E M, Gorcey, S A, Stratoulias, C
Format: Article
Language:English
Subjects:
Anastomosis, Surgical - methods
Case Reports
Duodenum - surgery
Female
Humans
Hypertrophy
Laparoscopy
Middle Aged
Pyloric Stenosis - diagnostic imaging
Pyloric Stenosis - pathology
Pyloric Stenosis - surgery
Pylorus - surgery
Radiography
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Summary:Idiopathic hypertrophic pyloric stenosis, in adults, is a rare disease. Partial gastrectomy, gastroenterostomy, pyloromyotomy, pyloroplasty and endoscopic dilatation have all been recommended with variable results. A 54-year-old white female is presented with the onset of symptoms of idiopathic hypertrophic pyloric stenosis one year prior to operation. Two endoscopic pyloric sphincter balloon dilatations provided only temporary relief. A laparoscopic pyloroplasty was performed. The patient tolerated a solid diet on postoperative day three. The patient was symptom-free at a 13 month follow-up. Idiopathic hypertrophic pyloric stenosis in adults can be treated with laparoscopic pyloroplasty, offering a minimally invasive alternative to open repair.
ISSN:1086-8089
1938-3797