Pyloric Stenosis

• pyloric stenosis - Also known as infantile hypertonic pylorus stenosis (IHPS)
• pyloric stenosis - Is an uncommon condition in infants that blocks food from entering the small intestine.
• What are the four regions of the stomach:

  • cardia
  • fundus
  • body
  • pylorus
• Cardia - The point where the esophagus connects to the stomach and through which food passes into the stomach.
• Fundus - Stores both undigested food and gases that are released during the process of chemical digestion
• Body - Takes in food from the esophagus, mixes it, breaks it down and then passes it on to the small intestine in small portions
• Pylorus - Allows partly digested food and other stomach contents to pass from the stomach to the small intestine.
• Signs and SYmptoms of Pyloric Stenosis

  • Vomiting after feeding
  • persistent hunger
  • dehydration
  • gastric peristaltic wave
  • oil-shaped mass deep to the right epigastrium
• Medical Intervention

  • operation
  • treat dehydration and mineral imbalance
• Pyloromyotomy - operation used to repair pyloric stenosis
• Pyloromyotomy - The surgeon cuts only through the outside layer of the thickened pylorus muscle, allowing the inner lining to bulge out and this opens a channel for food to pass through the small intestines
• Nursing Interventions for Pyloric Stenosis

  • Maintain adequate nutrition and fluid intake
  • Provide mouth care
  • promote skin integrity