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Pyloromyotomy

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https://www.readbyqxmd.com/read/27904579/comparison-of-pyloromyotomy-pyloric-buginage-and-intact-pylorus-on-gastric-drainage-in-gastric-pull-up-surgery-after-esophagectomy
#1
Gholamreza Mohajeri, Seyed Abbas Tabatabaei, Seyed Mozafar Hashemi, Hamidreza Hemmati
BACKGROUND: There are controversies regarding the usefulness of the pyloric drainage methods after esophagectomy as well as differences among various pyloric drainage techniques. Therefore, we compared the outcome of pyloromyotomy, pylorus buginage, and no intervention methods on gastric emptying among patients undergone esophagectomy. MATERIALS AND METHODS: In this randomized clinical trial, patients with diagnosed esophageal cancer or any other benign lesions candidate for esophagectomy were selected...
2016: Journal of Research in Medical Sciences: the Official Journal of Isfahan University of Medical Sciences
https://www.readbyqxmd.com/read/27896911/the-timing-and-prevalence-of-intraoperative-hypotension-in-infants-undergoing-laparoscopic-pyloromyotomy-at-a-tertiary-pediatric-hospital
#2
Allan F Simpao, Luis M Ahumada, Jorge A Gálvez, Christopher P Bonafide, Elicia C Wartman, William Randall England, Arul M Lingappan, Todd J Kilbaugh, Abbas F Jawad, Mohamed A Rehman
BACKGROUND: Intraoperative hypotension may be associated with adverse outcomes in children undergoing surgery. Infants and neonates under 6 months of age have less autoregulatory cerebral reserve than older infants, yet little information exists regarding when and how often intraoperative hypotension occurs in infants. AIMS: To better understand the epidemiology of intraoperative hypotension in infants, we aimed to determine the prevalence of intraoperative hypotension in a generally uniform population of infants undergoing laparoscopic pyloromyotomy...
November 29, 2016: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/27829521/a-randomized-trial-to-assess-advancement-of-enteral-feedings-following-surgery-for-hypertrophic-pyloric-stenosis
#3
Troy A Markel, Melissa R Scott, Samantha M Stokes, Alan P Ladd
PURPOSE: The rate of feeding advancement following surgery for hypertrophic pyloric stenosis (HPS) affects length of stay. We hypothesized that: 1) a relaxed feeding regimen following pyloromyotomy would allow infants to achieve feeding goals more quickly without affecting postoperative emesis, and 2) preoperative metabolic derangements would impair the ability to advance feedings following pyloromyotomy. METHODS: A prospective, randomized trial compared two postoperative feeding methods...
October 14, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27669400/hypertrophic-pyloric-stenosis-in-the-maritimes-examining-the-waves-of-change-over-time
#4
Alexander C Ednie, Ofer Amram, Jenna Colleen Creaser, Nadine Schuurman, Suzanne Leclerc, Natalie Yanchar
BACKGROUND: Changing patterns of referral and management of pediatric surgical conditions, including hypertrophic pyloric stenosis (HPS), have recently been described and often relate to comfort with early nonoperative management, anesthesia and corrective surgery. Travelling distance required for treatment at pediatric centres can also be burdensome for families. We assessed referral patterns for HPS in the maritime provinces of Canada over 10 years to quantify the burden on families travelling for surgical care...
October 1, 2016: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/27599310/adult-onset-idiopathic-hypertrophic-pyloric-stenosis-associated-with-osteoglophonic-dysplasia-and-hiv-case-report-and-review-of-literature
#5
Justin Holder, Daniel Zinn, Amiram Samin
Adult-onset hypertrophic pyloric stenosis (HPS) is a rare anomaly that can be idiopathic or related to underlying gastric pathology. We describe a case of a 25-year-old man with history of human immunodeficiency virus and osteoglophonic dysplasia who presented with pain and swelling at a gastrostomy site. Computed tomography and upper gastrointestinal barium swallow demonstrated gastric distention and stricture at the distal portion of the gastric antrum. An ultrasound detected HPS. The patient eventually required pyloromyotomy for treatment...
September 2, 2016: Ultrasound Quarterly
https://www.readbyqxmd.com/read/27556100/peroral-endoscopic-pyloromyotomy-accelerates-gastric-emptying-in-healthy-pigs-proof-of-concept
#6
Sophie Geyl, Romain Legros, Aurélie Charissou, Laura Mesturoux, Claude-Yves Couquet, Paul Carrier, Anaïs Brayette, Zora El-Ouafi, Veronique Loustaud-Ratti, Denis Sautereau, Jacques Monteil, Jérémie Jacques
INTRODUCTION: Gastroparesis, or delayed gastric emptying, can be diagnosed with gastric emptying scintigraphy. Manometric studies of patients with gastroparesis show increased pyloric tone (pylorospasm). Among the recent endoscopic therapies for pylorospasm is peroral endoscopic pylorotomy (POP). In this study, we explored the effect of POP on gastric emptying in healthy pigs. MATERIAL AND METHODS: Four mini-pigs underwent POP following general anaesthesia. The mucosal entrance was situated 5 cm above the pylorus...
July 2016: Endoscopy International Open
https://www.readbyqxmd.com/read/27532616/top-to-bottom-a-new-method-for-assessing-adequacy-of-laparoscopic-pyloromyotomy
#7
Maria E Linnaus, Crystal S Langlais, Kevin N Johnson, David M Notrica
INTRODUCTION: Hypertrophic pyloric stenosis is a commonly encountered pediatric surgical issue. Initially treated with open surgical techniques, many pediatric surgeons have adopted the minimally invasive approach using laparoscopy. However, some concerns exist that the rate of incomplete pyloromyotomy is elevated in laparoscopy. We propose a new technique to assess the adequacy of laparoscopic pyloromyotomy. METHODS: Adequacy of laparoscopic pyloromyotomy was assessed by confirming that the top of the serosa on one side of the pylorus has adequate freedom to reach the bottom of the muscle on other side...
August 17, 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/27530888/operative-wound-classification-an-inaccurate-measure-of-pediatric-surgical-morbidity
#8
Katherine W Gonzalez, Brian G Dalton, Brendan Kurtz, Michael C Keirsey, Tolulope A Oyetunji, Shawn D St Peter
BACKGROUND: Wound classification has catapulted to the forefront of surgical literature and quality care discussions. However, it has not been validated in laparoscopy or children. We analyzed pediatric infection rates based on wound classification and reviewed the most common noninfectious complications which could be a more appropriate measure for quality assessment. METHODS: We performed a retrospective review of 800 patients from 2011 to 2014 undergoing common procedures at a tertiary pediatric hospital...
November 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27528563/operative-outcomes-of-infantile-hypertrophic-pyloric-stenosis-in-patients-with-congenital-heart-disease
#9
Shin Miyata, Jayun Cho, Kazuhide Matsushima, Aaron Fowler, David W Bliss
PURPOSE: This study aims to compare the outcomes of pyloromyotomy for infantile hypertrophic pyloric stenosis (IHPS) in children with and without congenital heart disease (CHD). METHODS: A retrospective, single pediatric center, case-control, matched cohort study was performed over 10years. A case of IHPS with CHD was paired with control patients of IHPS without CHD, matched by age and gender. Perioperative morbidity, 30-day mortality, length of hospital stay, and hospital cost were compared...
November 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27521712/contemporary-management-of-pyloric-stenosis
#10
Matthew Jobson, Nigel J Hall
Hypertrophic pyloric stenosis is a common surgical cause of vomiting in infants. Following appropriate fluid resuscitation, the mainstay of treatment is pyloromyotomy. This article reviews the aetiology and pathophysiology of hypertrophic pyloric stenosis, its clinical presentation, the role of imaging, the preoperative and postoperative management, current surgical approaches and non-surgical treatment options. Contemporary postoperative feeding regimens, outcomes and complications are also discussed.
August 2016: Seminars in Pediatric Surgery
https://www.readbyqxmd.com/read/27506212/late-onset-hypertrophic-pyloric-stenosis-with-gastric-outlet-obstruction-case-report-and-review-of-the-literature
#11
Lindsey L Wolf, Amar Nijagal, Alejandro Flores, Terry L Buchmiller
We report late-onset hypertrophic pyloric stenosis in a 17-year-old female. She presented with abdominal pain and an episode of upper gastrointestinal hemorrhage and subsequently developed gastric outlet obstruction. Work-up revealed circumferential pyloric thickening, delayed gastric emptying, and a stenotic, elongated pyloric channel. Biopsies showed benign gastropathy, negative for Helicobacter pylori, without eosinophilic infiltrates. Botulinum toxin injection provided limited relief. Diagnostic laparoscopy confirmed the hypertrophic pylorus and we performed laparoscopic pyloromyotomy...
October 2016: Pediatric Surgery International
https://www.readbyqxmd.com/read/27421823/incisional-hernia-in-pediatric-surgery-experience-at-a-single-uk-tertiary-centre
#12
Dhanya Mullassery, Ami Pedersen, Andrew Robb, Nicola Smith
AIMS: Incisional hernia (IH) is a recognized complication of open and laparoscopic visceral surgery, with reported rates of 10-50% in adult surgical literature. There is a paucity of data relating to incisional hernias in children. The aim of our study was to analyze the incidence and treatment of IH in children. METHODS: Retrospective review of all patients admitted for incisional hernia repair at a tertiary pediatric surgical centre in the UK more than a 7-year period was performed...
June 25, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27413097/robert-emmett-farr-1875-1932-a-pioneer-of-pediatric-regional-anesthesia
#13
MaryKate Driscoll, Hyun Kee Chung, Manisha S Desai
Surgeons influence the introduction and development of anesthesia in many ways. Robert Emmett Farr is frequently cited as the first to describe the use of brachial plexus anesthesia in children. A surgeon based in Minneapolis, Minnesota, he passionately believed that regional anesthesia was superior to general anesthesia for many surgical procedures. He wrote extensively promoting other regional techniques, including local infiltration of local anesthetics for pyloromyotomy and harelip repairs, as well as caudal blocks for lower abdominal procedures...
July 13, 2016: Journal of Medical Biography
https://www.readbyqxmd.com/read/27389044/recurrent-pyloric-stenosis
#14
Amani Al-Ansari, Tariq I Altokhais
Infantile hypertrophic pyloric stenosis is the most commonly encountered surgical disease among pediatric patients. Incomplete pyloromyotomy is not uncommon complication of pyloromyotomy. However, recurrent pyloric stenosis is extremely rare. Up until now, there are only five cases reported in the English literature. We report a child with recurrent pyloric stenosis who was managed by redo pyloromyotomy.
July 2016: Pediatrics International: Official Journal of the Japan Pediatric Society
https://www.readbyqxmd.com/read/27354102/gastric-peroral-endoscopic-myotomy-for-refractory-gastroparesis-results-from-the-first-multicenter-study-on-endoscopic-pyloromyotomy-with-video
#15
Mouen A Khashab, Saowanee Ngamruengphong, David Carr-Locke, Amol Bapaye, Petros C Benias, Sam Serouya, Shivangi Dorwat, Dalton M Chaves, Everson Artifon, Eduardo G de Moura, Vivek Kumbhari, Yamile Haito Chavez, Majidah Bukhari, Gulara Hajiyeva, Amr Ismail, Yen-I Chen, Hyunsoo Chung
BACKGROUND AND AIMS: Gastric peroral endoscopic myotomy (G-POEM) has been recently reported as minimally invasive therapy for gastroparesis. The aims of this study were to report the first multicenter experience with G-POEM and assess the efficacy and safety of this novel procedure for gastroparetic patients with symptoms refractory to medical therapy. PATIENTS AND METHODS: All patients with gastroparesis who underwent endoscopic pyloromyotomy (G-POEM) at 5 medical centers were included...
June 25, 2016: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/27344585/differential-learning-processes-for-laparoscopic-and-open-supraumbilical-pyloromyotomy
#16
Quentin Ballouhey, Pauline Clermidi, Alexia Roux, Claire Bahans, Roxane Compagnon, Jérôme Cros, Bernard Longis, Laurent Fourcade
PURPOSE: To compare the learning curves for mastering OP and LP surgical techniques, in terms of effects on completion times and postoperative outcomes/complications. METHODS: A retrospective analysis was performed for 198 patients with hypertrophic pyloric stenosis. The learning curves were in regard to two groups of surgeons: three of whom performed 106 OPs while three others performed 92 LPs. Treatment-related complications were divided into two categories: specific complications relating to the pyloromyotomy and non-specific complications...
November 2016: Pediatric Surgery International
https://www.readbyqxmd.com/read/27307403/per-rectal-endoscopic-myotomy-for-the-treatment-of-adult-hirschsprung-s-disease-first-human-case-with-video
#17
Amol Bapaye, Gajanan Wagholikar, Sameer Jog, Aditi Kothurkar, Shefali Purandare, Nachiket Dubale, Rajendra Pujari, Mahesh Mahadik, Viral Vyas, Jay Bapaye
Hirschsprung's disease (HD) is a congenital disorder characterized by the absence of intrinsic ganglion cells in submucosal and myenteric plexuses of the hindgut; and presents with constipation, intestinal obstruction and/or megacolon. HD commonly involves the rectosigmoid region (short segment HD), although shorter and longer variants of the disease are described. Standard treatment involves pull-through surgery for short segment HD or posterior anorectal myotomy in selected ultrashort segment candidates. Third space endoscopy has evolved during the past few years...
September 2016: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/27292596/laparoscopic-pyloromyotomy-decreases-postoperative-length-of-stay-in-children-with-hypertrophic-pyloric-stenosis
#18
Justin B Mahida, Lindsey Asti, Katherine J Deans, Peter C Minneci, Jonathan I Groner
OBJECTIVE: To determine the impact of laparoscopic versus open pyloromyotomy on postoperative length of stay (LOS). MATERIALS AND METHODS: The 2013 National Surgical Quality Improvement Project Pediatric database was queried for all cases of pyloromyotomy performed on children <1year old with congenital hypertrophic pyloric stenosis. Demographics, clinical, and perioperative characteristics for patients with and without a prolonged postoperative LOS, defined as >1day, were compared...
September 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27281725/adverse-events-and-resource-utilization-after-spinal-and-general-anesthesia-in-infants-undergoing-pyloromyotomy
#19
Caleb Ing, Lena S Sun, Alexander F Friend, Arthur Roh, Susan Lei, Howard Andrews, Guohua Li, Robert K Williams
BACKGROUND AND OBJECTIVES: Interest in spinal anesthesia (SA) is increasing because of concern about the long-term effects of intravenous (IV) and inhaled anesthetics in young children. This study compared SA versus general anesthesia (GA) in infants undergoing pyloromyotomy. METHODS: Between 2000 to 2013, the University of Vermont Medical Center almost exclusively used SA for infant pyloromyotomy surgery, whereas Columbia University Medical Center relied on GA...
July 2016: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/27215474/efficacy-of-medical-treatment-for-infantile-hypertrophic-pyloric-stenosis-a%C3%A2-meta-analysis
#20
Shu Fen Wu, Hsiang Yu Lin, Fu Kuei Huang, An Chyi Chen, Bai Horng Su, Chia-Ing Li, Hung Chih Lin
BACKGROUND: Infantile hypertrophic pyloric stenosis (IHPS) is a common disease in infancy. Pyloromyotomy is universally considered the treatment for IHPS; however, oral or intravenous atropine has been reappraised for the treatment of IHPS in the past 20 years. We investigated the efficacy of atropine in the medical management of IHPS by using meta-analysis and investigated the sonographic changes of the pyloric canal, as well as the efficacy and adverse effects of atropine. METHODS: Information was retrieved from PubMed, Ovid, and MEDLINE...
April 8, 2016: Pediatrics and Neonatology
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