Laparoscopic pyloroplasty in idiopathic hypertrophic pyloric stenosis in an adult.
OBJECTIVE
Idiopathic hypertrophic pyloric stenosis, in adults, is a rare disease. Partial gastrectomy, gastroenterostomy, pyloromyotomy, pyloroplasty and endoscopic dilatation have all been recommended with variable results. A 54-year-old white female is presented with the onset of symptoms of idiopathic hypertrophic pyloric stenosis one year prior to operation. Two endoscopic pyloric sphincter balloon dilatations provided only temporary relief.


METHODS
A laparoscopic pyloroplasty was performed.


RESULTS
The patient tolerated a solid diet on postoperative day three. The patient was symptom-free at a 13 month follow-up.


CONCLUSIONS
Idiopathic hypertrophic pyloric stenosis in adults can be treated with laparoscopic pyloroplasty, offering a minimally invasive alternative to open repair.
Monmouth Medical Center, Department of Surgery, Long Branch, New Jersey 07740, USA. Ddanikas@onebox.com
D
D
Danikas
W P
WP
Geis
E M
EM
Ginalis
S A
SA
Gorcey
C
C
Stratoulias
D000714:Anastomosis, Surgical / Q000379:methods; D004386:Duodenum / Q000601:surgery*; D005260:Female; D006801:Humans; D006984:Hypertrophy; D010535:Laparoscopy; D008875:Middle Aged; D011707:Pyloric Stenosis / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D011708:Pylorus / Q000601:surgery*; D011859:Radiography