pyloromyotomy การใช้

Efficacy of laparoscopy is inferior to open surgery in certain conditions such as pyloromyotomy for Infantile hypertrophic pyloric stenosis.
When used to alleviate gastroesophageal reflux symptoms in patients with delayed gastric emptying, it is frequently combined with modification of the pylorus via pyloromyotomy or pyloroplasty.
It has a success rate of 85-89 % compared to nearly 100 % for pyloromyotomy, however it requires prolonged hospitalization, skilled nursing and careful follow up during treatment.
In one cohort of 157 newborns who were given erythromycin for pertussis prophylaxis, seven neonates ( 5 % ) developed symptoms of non-bilious vomiting or irritability with feeding and were subsequently diagnosed as having IHPS requiring surgical pyloromyotomy.