Pyloroplasty Periprocedural Care

Updated: Oct 14, 2015
  • Author: Vinay Kumar Kapoor, MBBS, MS, FRCS, FAMS; Chief Editor: Vikram Kate, MBBS, MS, PhD, FACS, FACG, FRCS, FRCS(Edin), FRCS(Glasg), FIMSA, MAMS, MASCRS  more...
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Periprocedural Care

Patient Education and Consent

Patients should be informed about postoperative dumping and bile reflux gastritis and counseled regarding changes in dietary habits.

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Patient Preparation

General anesthesia is used. The patient is placed in the supine position. Nasogastric decompression and lavage should be performed in patients with pyloric stenosis and gastric outlet obstruction.

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Monitoring and Follow-up

Patients should be monitored for symptoms of recurrent ulcer (in peptic ulcer disease). If such symptoms are present, an upper gastrointestinal endoscopy should be performed to confirm a recurrent peptic ulcer.

Pyloroplasty does not increase the risk of gastric cancer (as opposed to gastrojejunostomy, which is associated with a slightly higher risk of gastric cancer due to bile reflux gastritis).

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