Pyloric Stenosis in Brief: Presentation, Workup, Diagnosis, and Perioperative Considerations

Dr. Bhargava Mullapudi, Pediatric Surgeon at Cincinnati Children’s, and Dr. Gillian Goddard, Pediatric Surgery Research Fellow at Cincinnati Children’s, joins Dr. Rae Hanke to review the essentials of pyloric stenosis in this videocast.

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00:00 Introduction
00:30 Definition of pyloric stenosis
00:45 Etiology of pyloric stenosis
00:57 Presentation for pyloric stenosis
01:40 Differential diagnosis for pyloric stenosis
02:15 History and physical for pyloric stenosis
02:40 Lab work for pyloric stenosis
02:50 Ultrasound imaging for pyloric stenosis
03:11 Electrolyte abnormalities in pyloric stenosis and physiology
04:10 Initial treatment for pyloric stenosis: Fluid and electrolyte resuscitation
06:04 Key surgical steps/technique for laparoscopic pyloromyotomy
08:17 How to determine sufficient myotomy
08:40 Post operative complications of pyloromyotomy
09:17 What to do if there is a mucosal perforation
10:00 Post operative feeding following pyloromyotomy
10:30 Post operative emesis following pyloromyotomy
11:35 Summary and outro