Pyloroplasty Periprocedural Care

Updated: Sep 07, 2021
  • Author: Vinay K Kapoor, MBBS, MS, FRCSEd, FICS, FAMS; Chief Editor: Vikram Kate, MBBS, PhD, MS, FACS, FACG, FRCS, FRCS(Edin), FRCS(Glasg), FIMSA, FFST(Ed), 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.


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 (GOO).


Monitoring & 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).