Skip to main content

Surgical Management: Pyloroplasty Options

  • Chapter
  • First Online:
The SAGES Manual of Foregut Surgery

Abstract

Benign gastric outlet obstruction is an uncommon complication resulting from peptic ulcer disease. There are a variety of surgical interventions available for the treatment of gastric outlet obstruction, including drainage procedures as well as procedures requiring resection with reconstruction. In this chapter we describe surgical techniques for pyloroplasty. Both traditional open procedures and newer laparoscopic and endoscopic methods are described.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Gibson JB, Behrman SW, Fabian TC, Britt LG. Gastric outlet obstruction resulting from peptic ulcer disease requiring surgical intervention is infrequently associated with Helicobacter pylori infection. J Am Coll Surg. 2000;191(1):32–7.

    Article  CAS  Google Scholar 

  2. Soreide JA, Soreide K. Pyloroplasty. Oper Tech General Surg. 2003;5(2):65–72.

    Article  Google Scholar 

  3. Scott-Conner CEH. Pyloroplasty (Heineke-Mikulicz and Finney) operation for bleeding duodenal ulcer. In: Chassin’s operative strategy in general surgery. 3rd ed; 2012. p. 244–51.

    Google Scholar 

  4. Potter SD, Spiro SA, Nance FC. An alternative method to traditional Pyloroplasty using a circular stapler. J Am Coll Surg. 1995;180(6):742–4.

    CAS  PubMed  Google Scholar 

  5. Hibbard ML, Dunst CM, Swanstrom LL. Laparoscopic and endoscopic pylorplasty for gastroparesis results in sustained symptom improvement. J Gastrointest Surg. 2015;15:1513–9.

    Article  Google Scholar 

  6. Shada AL, Dunst CM, Pescarus R, Speer EA, Cassera M, Reavis KM, Swanstrom LL. Laparoscopic pyloroplasty is a safe and effective first-line surgical therapy for refractory gastroparesis. Surg Endosc. 2016;30:1326–32.

    Article  Google Scholar 

  7. Shlomovitz E, Pescaru R, Cassera MA, Sharata AM, Reavis KM, Dunst CM, Swanstrom LL. Early human experience with per-oral endoscopic pyloromyotomy (POP). Surg Endosc. 2015;29:543–51.

    Article  Google Scholar 

  8. Soreide MG, Soreide JA. Pyloroplasty for benign gastric outlet obstruction – indications and techniques. Scaninavian J Surg. 2006;95:11–6.

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jacob A. Greenberg .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 SAGES

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Stroud, A.M., Greenberg, J.A. (2019). Surgical Management: Pyloroplasty Options. In: Grams, J., Perry, K., Tavakkoli, A. (eds) The SAGES Manual of Foregut Surgery . Springer, Cham. https://doi.org/10.1007/978-3-319-96122-4_67

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-96122-4_67

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-96121-7

  • Online ISBN: 978-3-319-96122-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics