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Pyloroplasty

Peptic ulcer - pyloroplasty; PUD - pyloroplasty; Pyloric obstruction - pyloroplasty 

Pyloroplasty is surgery to widen the opening in the lower part of the stomach (pylorus) so that stomach contents can empty into the small intestine (duodenum).

The pylorus is a thick, muscular area. When it thickens or its opening narrows, food cannot pass through.

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Description

The surgery is done while you are under general anesthesia (asleep and pain free).

If you have open surgery, the surgeon:

Surgeons can also do this surgery using a laparoscope. A laparoscope is a tiny camera that is inserted into your belly through a small cut. Video from the camera will appear on a monitor in the operating room. The surgeon views the monitor to do the surgery. During the surgery:

Why the Procedure Is Performed

Pyloroplasty is used to treat complications in people with peptic ulcers or other stomach problems that cause a blockage of the stomach opening.

Risks

Risks for anesthesia and surgery in general are:

Risks of this surgery include:

Before the Procedure

Tell your surgeon:

During the days before your surgery:

On the day of your surgery:

After the Procedure

After surgery, the health care team will monitor your breathing, blood pressure, temperature, and heart rate. Many people can go home within 24 hours.

Outlook (Prognosis)

Most people recover quickly and completely. The average hospital stay is 2 to 3 days. It's likely you can slowly begin a regular diet in a few weeks.

Related Information

Pyloric stenosis in infants
Duodenum

References

Chan FKL, Lau JYW. Peptic ulcer disease. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 11th ed. Philadelphia, PA: Elsevier; 2021:chap 53.

Mahvi DA, Mahvi DM. Stomach. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 21st ed. St Louis, MO: Elsevier; 2022:chap 49.

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Review Date: 8/22/2022  

Reviewed By: Debra G. Wechter, MD, FACS, General Surgery Practice Specializing in Breast Cancer, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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