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Evaluation of Pyloric Stenosis Management, Laparoscopic versus Open Pyloromyotomy

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Last updated: 03 Jan 2025

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Abstract

Background: Hypertrophic pyloric stenosis (HPS) is associated with gastric outlet obstruction that occurs as a result of pylorus muscular layers hypertrophy. HPS is considered as the most common cause of vomiting in infancy that requires surgical intervention. Despite advances in neonatal and surgical care, still there is a debate between the pediatric surgeons about the approach that can provide better outcomes for the patients. Objective: In our paper, we aimed to review the recent randomized clinical trials and reviews that compared between laparoscopic and open pyloromyotomy to assess their outcomes, merits and pitfall of each. Methods: PubMed database was used for articles selection, and the following keys used in the mesh ("Hypertrophic Pyloric Stenosis /management"[Mesh] OR "\ Hypertrophic Pyloric Stenosis /outcomes"[Mesh]) AND ("Mortality/Morbidity"[Mesh]). A total of 12 studies were enrolled into our review according to our inclusion and exclusion criteria. Conclusion: We found that overall Laparoscopic pyloromyotomy procedures were as safe and effective as Open pyloromyotomy procedures for infants with hypertrophic pyloric stenosis. However, there was a trend in the LP group towards shorter time, especially with regard to the full time to feeds, length of stay after surgery, operating time. We think that our findings justify the continued use of laparoscopic pyloromyotomy for the management of infantile hypertrophic pyloric stenosis, and recommend its use in centers with appropriate laparoscopic experience.

DOI

10.21608/ejhm.2018.16935

Keywords

pyloric stenosis, Management, laparoscopic pyloromyotomy, open pyloromyotomy

Authors

First Name

Awath Fahim

Last Name

Alsulami

MiddleName

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Affiliation

Umm Al- Qura University

Email

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City

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Orcid

-

First Name

Abdulrahman Abdullah

Last Name

Alzahrani

MiddleName

-

Affiliation

Umm Al- Qura University

Email

-

City

-

Orcid

-

First Name

Ahmed Bakr

Last Name

Ibrahim

MiddleName

-

Affiliation

King Saud bin Abdulaziz University

Email

-

City

-

Orcid

-

First Name

Ali Abdulla

Last Name

Almazeedi

MiddleName

-

Affiliation

Mansoura University

Email

-

City

-

Orcid

-

First Name

Abdullah Saud

Last Name

Alfaraj

MiddleName

-

Affiliation

Mansoura University

Email

-

City

-

Orcid

-

First Name

Asma Mutni

Last Name

Al-Mutairi

MiddleName

-

Affiliation

Al-Qassim University

Email

-

City

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Orcid

-

First Name

Razan Mohammad S

Last Name

Almuallad

MiddleName

-

Affiliation

Ibn Sina National College

Email

-

City

-

Orcid

-

First Name

Maram Mudhhi

Last Name

Alabdali

MiddleName

-

Affiliation

Ibn Sina National College

Email

-

City

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Orcid

-

First Name

Hadeel Taha

Last Name

Alsaadi

MiddleName

-

Affiliation

Ibn Sina National College

Email

-

City

-

Orcid

-

First Name

Bodoor Salmi

Last Name

Almotairi

MiddleName

-

Affiliation

Taibah University

Email

-

City

-

Orcid

-

Volume

73

Article Issue

6

Related Issue

3486

Issue Date

2018-10-01

Receive Date

2018-10-19

Publish Date

2018-10-01

Page Start

6,859

Page End

6,863

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 73_Issue 6_Pages 6859-6863.pdf

PDF . 339.3kB

Link

https://ejhm.journals.ekb.eg/article_16935.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=16935

Order

10

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Evaluation of Pyloric Stenosis Management, Laparoscopic versus Open Pyloromyotomy

Details

Type

Article

Created At

22 Jan 2023