Pyloromyotomy: Surgery for pyloric stenosisPPyloromyotomy: Surgery for pyloric stenosisPyloromyotomy: Surgery for pyloric stenosisEnglishGastrointestinalBaby (1-12 months)Stomach;Small IntestineStomach;Small intestineProceduresCaregivers Adult (19+)NA2009-11-10T05:00:00ZStewart Harris, RN;Kimberly Colapinto, RN, BScN, MN, ACNP;Candice Rosenberg, RN, BScN, MScN;Jacob Langer, MD, FRCSC8.0000000000000062.00000000000001020.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Read about pyloric stenosis, pyloromyotomy, and how to care for your child after the operation.</p><h2>What is pyloric stenosis?</h2><p>Pyloric stenosis (say: pie-LOR-ick stuh-NO-sis) is a blockage of the pylorus (say: pie-LOR-us). The pylorus is the opening from the stomach to the intestine. There is a muscle around this opening. Normally, this muscle keeps food in the stomach when it tightens and lets food out of the stomach when it relaxes. But when the muscle below the stomach is thick and tight, it cannot relax properly, and a blockage happens. This means the breast milk or formula you feed your baby cannot pass easily from the stomach to the intestine. This makes your baby <a href="/Article?contentid=746&language=English">vomit</a> (throw up).</p><p>If your baby's doctor thinks your baby has pyloric stenosis, she will do a physical exam and history and order an ultrasound.</p> <figure> <span class="asset-image-title">Pyloric stenosis</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Pyloric_stenosis_MED_ILL_EN.jpg" alt="" /> <figcaption class="asset-image-caption">Pyloric stenosis happens when the muscle below the stomach is thick and tight. Food cannot pass easily from the stomach to the intestine.</figcaption> </figure> <h2>What is a pyloromyotomy?</h2><p>A pyloromyotomy (say: pie-LOR-oh-my-OTT-uh-mee) is surgery (an operation) to repair the pylorus. During the operation, the surgeon cuts the tight muscle between the stomach and small intestine. This loosens the muscle so the stomach can empty and food will be able to pass easily into the small intestine.</p><p>This is a common, simple operation. It normally will not affect your baby's growth.</p><h2>Key points</h2> <ul> <li> Pyloric stenosis is a blockage in the opening from the stomach to the intestine.</li> <li>If your baby has pyloric stenosis food cannot pass easily from the stomach to the intestine and your baby will vomit.</li> <li>A pyloromyotomy is an operation to loosen the tight muscle causing the blockage between the stomach and small intestine.</li> <li>Your child will need to have an anaesthetic. Your child will stay in the hospital one to three days after the operation.</li> </ul><h2>When to call the surgery team</h2> <p>The main concerns after a pyloromyotomy are:</p> <ul> <li>wound infection </li> <li>the pyloric stenosis coming back </li> </ul> <p>Call your baby's surgeon's office if you notice any of the following signs or symptoms of infection in your baby:</p> <ul> <li><a href="/Article?contentid=30&language=English">fever</a> of 38.5°C (101°F) or higher</li> <li>thick yellow or green, foul-smelling discharge from the incision area </li> <li>bleeding at the incision area </li> <li>redness at the incision area </li> <li>pain that gets worse, even after taking pain medicine </li> <li>swelling at the incision area </li> <li>less appetite or vomiting (throwing up) </li> </ul> <p>Another concern is your baby still vomiting after they go home. Please call your baby's surgeon's office if you notice any of the following: </p> <ul> <li>vomiting after most meals </li> <li>weight loss </li> <li>your baby is not urinating (peeing) as much as usual </li> <li>your baby feels lethargic or very tired or drowsy </li> </ul> <p>If you have a question or a concern that is not urgent, call your baby's surgeon's office during business hours or leave a message on the answering machine after hours. If you have an urgent concern, take your baby to his family doctor, paediatrician, or the nearest emergency department. In an emergency, call 911. </p> <p>My baby's surgeon is:</p> <p>Phone number:</p> <p>My baby's regular doctor is:</p> <p>Phone number:</p><h2>During the pyloromyotomy</h2> <p>Before the operation starts, your baby will have a special "sleep medicine" called a general anesthetic. This helps make sure your baby sleeps through the operation and does not feel any pain. </p> <p>The surgeon will make cuts in the pylorus to loosen the muscle.</p> <p>A pyloromyotomy takes about one hour.</p><h2>After the pyloromyotomy</h2> <p>After the pyloromyotomy, your baby will go to the <a href="/pacu">Post-Anesthesia Care Unit</a>, also called the PACU or recovery room. They will stay there for about one hour. You can <a href="/Article?contentid=1262&language=English">visit your baby</a> when they wake up. Your baby will then go back to the inpatient unit. </p> <p>Your baby will have an intravenous (IV) tube in their arm. This takes fluids and medicines directly into your baby's blood. The IV will be taken out when it is no longer needed for medicines or fluid and your baby is drinking well. </p> <p>Your baby can go home when all of the following happen:</p> <ul> <li>Their heart rate, breathing, blood pressure and temperature are normal. </li> <li>They are eating well without vomiting. </li> <li>They are comfortable taking pain medicine by mouth. </li> </ul> <p>This is usually one to three days after the operation.</p> <h2>You should plan to take time off work to take care of your baby</h2> <p>It is difficult to plan how much time you will need to take off work. You should be able to go back to work after about one week. </p><h2>What to bring to the hospital</h2> <p>Your baby will already be staying in the hospital, so you do not need to bring anything on the day of the operation. But you may want to bring a toy that is special to your baby. On the day they are released from the hospital, bring your baby's car seat for travel home. </p> <h2>Before the operation</h2> <p>Before the operation, you can go with your baby from the inpatient unit to the operating room waiting area. You will then go to the parents' surgical waiting area until the operation is finished. </p>
Pyloromyotomie : opération de la sténose du pylorePPyloromyotomie : opération de la sténose du pylorePyloromyotomy: Surgery for pyloric stenosisFrenchGastrointestinalBaby (1-12 months)Stomach;Small IntestineStomach;Small intestineProceduresCaregivers Adult (19+)NA2009-11-10T05:00:00ZStewart Harris, RN;Kimberly Colapinto, RN, BScN, MN, ACNP;Candice Rosenberg, RN, BScN, MScN;Jacob Langer, MD, FRCSC8.0000000000000062.00000000000001020.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Vous en apprendrez davantage sur la sténose du pylore, la pyloromyotomie et les soins après l'opération.</p><h2>Qu’est-ce que la sténose du p​ylore?</h2> <p>La sténose du pylore est une obstruction du pylore. C'est l'ouverture entre l’estomac et l’intestin. Un muscle entoure cette ouverture. Normalement, ce muscle garde les aliments dans l’estomac quand il est contracté et laisse les aliments sortir de l’estomac quand il est relâché. Cependant, si le muscle sous l’estomac est épais et serré, il ne peut se relâcher correctement, d’où l’obstruction. Cela signifie que le lait maternel ou le lait en poudre pour votre bébé ne peut pas passer facilement de l’estomac à l’intestin, ce qui fait vomir votre bébé.</p> <p>Si le médecin de votre bébé croit qu’il présente une sténose du pylore, il fera un examen physique et examinera les antécédents, et fera un examen par échographie.</p> <figure> <span class="asset-image-title">Sténose du pylore</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Pyloric_stenosis_MED_ILL_FR.jpg" /> <figcaption class="asset-image-caption">Une sténose du pylore se produit lorsque le muscle situé en dessous de l'estomac est épais et serré. La nourriture ne peut passer aisément de l'estomac à l'intestin. </figcaption> </figure> <h2>Qu’est-ce qu’une pyloromyotomie?</h2> <p>Une pyloromyotomie est une opération de réparation du pylore. Pendant l’opération, le chirurgien coupe le muscle contracté entre l’estomac et l’intestin grêle, ce qui détend le muscle, de manière à ce que l’estomac puisse se vider et à ce que les aliments passent facilement dans l’intestin grêle.</p> <p>C’est une opération courante et simple. Normalement, elle n’a aucun effet sur la croissance.</p><h2>Key points</h2> <ul> <li> Pyloric stenosis is a blockage in the opening from the stomach to the intestine.</li> <li>If your baby has pyloric stenosis food cannot pass easily from the stomach to the intestine and your baby will vomit.</li> <li>A pyloromyotomy is an operation to loosen the tight muscle causing the blockage between the stomach and small intestine.</li> <li>Your child will need to have an anaesthetic. Your child will stay in the hospital one to three days after the operation.</li> </ul><h2>Quand appeler l’équipe chirurgicale</h2> <p>Après une pyloromyotomie, les problèmes à surveiller sont :</p> <ul><li>une infection de la plaie;</li> <li>le retour de la sténose.</li></ul> <p>Appelez le bureau du chirurgien si vous remarquez l’un ou l’autre des signes ou symptômes suivants :</p> <ul><li>fièvre de 38,5°C (101°F) ou plus;</li> <li>écoulement jaunâtre ou verdâtre épais et nauséabond de l’incision;</li> <li>saignement de l’incision;</li> <li>rougeur à l’incision;</li> <li>douleur qui empire, même après la prise de médicaments;</li> <li>enflure au site de l’incision;</li> <li>diminution de l’appétit ou vomissements.</li></ul> <p>C’est aussi un problème si votre bébé continue de vomir après le retour à la maison. Appelez le bureau du chirurgien si vous remarquez ce qui suit :</p> <ul><li>vomissement après la plupart des repas;</li> <li>perte de poids;</li> <li>votre bébé urine moins qu’à l’habitude;</li> <li>votre bébé est léthargique, fatigué ou somnolent.</li></ul> <p>Si vous avez une question ou une préoccupation non urgente, appelez le bureau du chirurgien pendant les heures ouvrables ou laissez un message hors heures ouvrables Si vous avez un problème urgent, rendez-vous chez votre médecin de famille, votre pédiatre ou au service d’urgence le plus près. Pour toute urgence, appelez le 911.</p> <p>Nom du chirurgien de mon bébé :</p> <p>Numéro de téléphone :</p> <p>Médecin de mon bébé :</p> <p>Numéro de téléphone :​</p><h2>Pendant la pyloromyotomie</h2> <p>On donnera un médicament à votre bébé pour l’endormir, appelé anesthésie générale. Cela fera dormir votre bébé tout au long de l’opération et qu'il ne ressente aucune douleur.</p> <p>Le chirurgien pratiquera des incisions dans le pylore pour relâcher le muscle.</p> <p>Une pyloromyotomie dure environ 1 heure.</p><h2>Après la pyloromyotomie</h2> <p>Après la pyloromyotomie, votre bébé sera conduit dans l’unité de soins post-opératoires, ou salle de réveil. Il y restera pendant environ 1 heure. Vous pourrez aller le voir quand il se réveillera. Votre bébé retournera ensuite à l’unité de soins.</p> <p>Un tube intraveineux (IV) sera installé dans le bras de votre bébé. Le tube permet d’administrer des liquides et des médicaments directement dans les aliments de votre bébé. L’IV sera retiré quand il ne sera plus nécessaire d’administrer des médicaments ou des liquides par voie IV et quand votre bébé réussit à boire.</p> <p>Votre bébé pourra retourner à la maison quand tout ce qui suit se produira :</p> <ul><li>son rythme cardiaque, sa respiration, sa tension artérielle et sa température seront de retour à la normale;</li> <li>il mangera bien sans vomir;</li> <li>il pourra avaler ses médicaments.</li></ul> <p>Cela se produit habituellement 1 à 3 jours après l’opération.</p> <h2>Vous devriez prévoir prendre des congés pour prendre soin de votre enfant</h2> <p>Il est difficile de prévoir combien de temps vous devrez vous absenter du travail, mais vous devriez pouvoir y retourner après environ une semaine.</p><h2>Qu'apporter à l’hôpital</h2> <p>Votre bébé sera déjà à l’hôpital; nul besoin d’apporter quelque chose pour la journée de l’opération, sauf peut-être un jouet que votre bébé affectionne. Le jour du congé, apportez le siège pour la voiture.</p> <h2>Avant l’opération</h2> <p>Avant l’opération, vous pouvez aller chercher votre bébé à l’unité des soins pour aller en salle d’attente de la salle d’opération. Vous vous rendrez ensuite dans la salle d’attente des parents jusqu’à ce que l’opération soit terminée.</p>

 

 

Pyloromyotomy: Surgery for pyloric stenosis1017.00000000000Pyloromyotomy: Surgery for pyloric stenosisPyloromyotomy: Surgery for pyloric stenosisPEnglishGastrointestinalBaby (1-12 months)Stomach;Small IntestineStomach;Small intestineProceduresCaregivers Adult (19+)NA2009-11-10T05:00:00ZStewart Harris, RN;Kimberly Colapinto, RN, BScN, MN, ACNP;Candice Rosenberg, RN, BScN, MScN;Jacob Langer, MD, FRCSC8.0000000000000062.00000000000001020.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Read about pyloric stenosis, pyloromyotomy, and how to care for your child after the operation.</p><h2>What is pyloric stenosis?</h2><p>Pyloric stenosis (say: pie-LOR-ick stuh-NO-sis) is a blockage of the pylorus (say: pie-LOR-us). The pylorus is the opening from the stomach to the intestine. There is a muscle around this opening. Normally, this muscle keeps food in the stomach when it tightens and lets food out of the stomach when it relaxes. But when the muscle below the stomach is thick and tight, it cannot relax properly, and a blockage happens. This means the breast milk or formula you feed your baby cannot pass easily from the stomach to the intestine. This makes your baby <a href="/Article?contentid=746&language=English">vomit</a> (throw up).</p><p>If your baby's doctor thinks your baby has pyloric stenosis, she will do a physical exam and history and order an ultrasound.</p> <figure> <span class="asset-image-title">Pyloric stenosis</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Pyloric_stenosis_MED_ILL_EN.jpg" alt="" /> <figcaption class="asset-image-caption">Pyloric stenosis happens when the muscle below the stomach is thick and tight. Food cannot pass easily from the stomach to the intestine.</figcaption> </figure> <h2>What is a pyloromyotomy?</h2><p>A pyloromyotomy (say: pie-LOR-oh-my-OTT-uh-mee) is surgery (an operation) to repair the pylorus. During the operation, the surgeon cuts the tight muscle between the stomach and small intestine. This loosens the muscle so the stomach can empty and food will be able to pass easily into the small intestine.</p><p>This is a common, simple operation. It normally will not affect your baby's growth.</p><h2>Key points</h2> <ul> <li> Pyloric stenosis is a blockage in the opening from the stomach to the intestine.</li> <li>If your baby has pyloric stenosis food cannot pass easily from the stomach to the intestine and your baby will vomit.</li> <li>A pyloromyotomy is an operation to loosen the tight muscle causing the blockage between the stomach and small intestine.</li> <li>Your child will need to have an anaesthetic. Your child will stay in the hospital one to three days after the operation.</li> </ul><h2>Caring for your baby at home</h2> <h3>Care of the incision</h3> <p>The incision (surgical cut) from the operation will be covered by a dressing called steri-strips. You do not need to do anything to the strips. Wash your hands before touching or cleaning the incision area. </p> <p>A small amount of blood on the strips is common. If the blood seems fresh (bright red in colour) or if the amount of blood increases, press on the area with a clean, dry washcloth for five to six minutes. Then call your baby's surgeon's office. If the bleeding does not stop, take your baby to a family doctor or to the emergency department. </p> <p>The steri-strips will fall off on their own. If they have not fallen off already, you can take off the strips seven to 10 days after your baby's operation. </p> <h3>Activities</h3> <p>You can allow your baby to do all normal activities once they return home.</p> <h3>Food and drink</h3> <p>During the first 24 hours after the operation, your baby may still vomit. This is common. The vomiting is usually due to the side effects of the pyloric stenosis. It will slowly get better. </p> <p>Your baby should be able to eat the breast milk or formula they normally eat after the operation.</p> <p>If your baby has problems eating, call your surgeon's office.</p> <h3>Pain medicine</h3> <p>Your baby can have pain medicine as needed after the first 24 hours. This type of operation is usually not very painful, so your baby should only need plain <a href="/Article?contentid=62&language=English">acetaminophen</a> by mouth. </p> <h3>Bathing</h3> <p>You can give your baby a bath 48 hours after the operation.</p><h2>When to call the surgery team</h2> <p>The main concerns after a pyloromyotomy are:</p> <ul> <li>wound infection </li> <li>the pyloric stenosis coming back </li> </ul> <p>Call your baby's surgeon's office if you notice any of the following signs or symptoms of infection in your baby:</p> <ul> <li><a href="/Article?contentid=30&language=English">fever</a> of 38.5°C (101°F) or higher</li> <li>thick yellow or green, foul-smelling discharge from the incision area </li> <li>bleeding at the incision area </li> <li>redness at the incision area </li> <li>pain that gets worse, even after taking pain medicine </li> <li>swelling at the incision area </li> <li>less appetite or vomiting (throwing up) </li> </ul> <p>Another concern is your baby still vomiting after they go home. Please call your baby's surgeon's office if you notice any of the following: </p> <ul> <li>vomiting after most meals </li> <li>weight loss </li> <li>your baby is not urinating (peeing) as much as usual </li> <li>your baby feels lethargic or very tired or drowsy </li> </ul> <p>If you have a question or a concern that is not urgent, call your baby's surgeon's office during business hours or leave a message on the answering machine after hours. If you have an urgent concern, take your baby to his family doctor, paediatrician, or the nearest emergency department. In an emergency, call 911. </p> <p>My baby's surgeon is:</p> <p>Phone number:</p> <p>My baby's regular doctor is:</p> <p>Phone number:</p><h2>During the pyloromyotomy</h2> <p>Before the operation starts, your baby will have a special "sleep medicine" called a general anesthetic. This helps make sure your baby sleeps through the operation and does not feel any pain. </p> <p>The surgeon will make cuts in the pylorus to loosen the muscle.</p> <p>A pyloromyotomy takes about one hour.</p><h2>After the pyloromyotomy</h2> <p>After the pyloromyotomy, your baby will go to the <a href="/pacu">Post-Anesthesia Care Unit</a>, also called the PACU or recovery room. They will stay there for about one hour. You can <a href="/Article?contentid=1262&language=English">visit your baby</a> when they wake up. Your baby will then go back to the inpatient unit. </p> <p>Your baby will have an intravenous (IV) tube in their arm. This takes fluids and medicines directly into your baby's blood. The IV will be taken out when it is no longer needed for medicines or fluid and your baby is drinking well. </p> <p>Your baby can go home when all of the following happen:</p> <ul> <li>Their heart rate, breathing, blood pressure and temperature are normal. </li> <li>They are eating well without vomiting. </li> <li>They are comfortable taking pain medicine by mouth. </li> </ul> <p>This is usually one to three days after the operation.</p> <h2>You should plan to take time off work to take care of your baby</h2> <p>It is difficult to plan how much time you will need to take off work. You should be able to go back to work after about one week. </p><h2>What to bring to the hospital</h2> <p>Your baby will already be staying in the hospital, so you do not need to bring anything on the day of the operation. But you may want to bring a toy that is special to your baby. On the day they are released from the hospital, bring your baby's car seat for travel home. </p> <h2>Before the operation</h2> <p>Before the operation, you can go with your baby from the inpatient unit to the operating room waiting area. You will then go to the parents' surgical waiting area until the operation is finished. </p>https://assets.aboutkidshealth.ca/akhassets/Pyloric_stenosis_MED_ILL_EN.jpgPyloromyotomy: Surgery for pyloric stenosis

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