Evaluation of Pyloric Stenosis Management, Laparoscopic versus Open Pyloromyotomy
Alsulami, A., Alzahrani, A., Ibrahim, A., Almazeedi, A., Alfaraj, A., Al-Mutairi, A., Almuallad, R., Alabdali, M., Alsaadi, H., Almotairi, B. (2018). Evaluation of Pyloric Stenosis Management, Laparoscopic versus Open Pyloromyotomy. EKB Journal Management System, 73(6), 6859-6863. doi: 10.21608/ejhm.2018.16935
Awath Fahim Alsulami; Abdulrahman Abdullah Alzahrani; Ahmed Bakr Ibrahim; Ali Abdulla Almazeedi; Abdullah Saud Alfaraj; Asma Mutni Al-Mutairi; Razan Mohammad S Almuallad; Maram Mudhhi Alabdali; Hadeel Taha Alsaadi; Bodoor Salmi Almotairi. "Evaluation of Pyloric Stenosis Management, Laparoscopic versus Open Pyloromyotomy". EKB Journal Management System, 73, 6, 2018, 6859-6863. doi: 10.21608/ejhm.2018.16935
Alsulami, A., Alzahrani, A., Ibrahim, A., Almazeedi, A., Alfaraj, A., Al-Mutairi, A., Almuallad, R., Alabdali, M., Alsaadi, H., Almotairi, B. (2018). 'Evaluation of Pyloric Stenosis Management, Laparoscopic versus Open Pyloromyotomy', EKB Journal Management System, 73(6), pp. 6859-6863. doi: 10.21608/ejhm.2018.16935
Alsulami, A., Alzahrani, A., Ibrahim, A., Almazeedi, A., Alfaraj, A., Al-Mutairi, A., Almuallad, R., Alabdali, M., Alsaadi, H., Almotairi, B. Evaluation of Pyloric Stenosis Management, Laparoscopic versus Open Pyloromyotomy. EKB Journal Management System, 2018; 73(6): 6859-6863. doi: 10.21608/ejhm.2018.16935

Evaluation of Pyloric Stenosis Management, Laparoscopic versus Open Pyloromyotomy

The Egyptian Journal of Hospital Medicine
Article 10, Volume 73, Issue 6, October 2018, Page 6859-6863  XML PDF (331.35 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2018.16935
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Authors
Awath Fahim Alsulami1; Abdulrahman Abdullah Alzahrani1; Ahmed Bakr Ibrahim2; Ali Abdulla Almazeedi3; Abdullah Saud Alfaraj3; Asma Mutni Al-Mutairi4; Razan Mohammad S Almuallad5; Maram Mudhhi Alabdali5; Hadeel Taha Alsaadi5; Bodoor Salmi Almotairi6
1Umm Al- Qura University
2King Saud bin Abdulaziz University
3Mansoura University
4Al-Qassim University
5Ibn Sina National College
6Taibah University
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.

Keywords
pyloric stenosis; Management; laparoscopic pyloromyotomy; open pyloromyotomy
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