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Related to pyloroplasty: Finney pyloroplasty




Pyloroplasty is an elective surgical procedure in which the lower portion of the stomach, the pylorus, is cut and resutured, to relax the muscle and widen the opening into the intestine. Pyloroplasty is a treatment for high-risk patients for gastric or peptic ulcer disease. A peptic ulcer is a well-defined sore on the stomach where the lining of the stomach or duodenum has been eaten away by stomach acid and digestive juices.


The end of the pylorus is surrounded by a strong band of muscle (pyloric sphincter), through which stomach contents are emptied into the duodenum (the first part of the small intestine). Pyloroplasty widens this opening into the duodenum.
A pyloroplasty is performed to treat complications of gastric ulcer disease, or when conservative treatment is unsatisfactory. The longitudinal cut made in the pylorus is closed transversely, permitting the muscle to relax. By establishing an enlarged outlet from the stomach into the intestine, the stomach empties more quickly. A pyloroplasty is often done is conjunction with a vagotomy, a procedure in which the nerves that stimulate stomach acid production and gastric motility (movement) are cut. As these nerves are cut, gastric emptying may be delayed, and the pyloroplasty compensates for that effect.


As with any surgical procedure, the patient will be required to sign a consent form after the procedure is explained thoroughly. Blood and urine studies, along with various x rays may be ordered as the doctor deems necessary. Food and fluids will be prohibited after midnight before the procedure. Cleansing enemas may be ordered to empty the intestine. If nausea or vomiting are present, a suction tube to empty the stomach may be used.


Post-operative care for the patient who has had a pyloroplasty, as for those who have had any major surgery, involves monitoring of blood pressure, pulse, respiration, and temperature. Breathing tends to be shallow because of the effect of anesthesia and the patient's reluctance to breathe deeply and experience pain that is caused by the abdominal incision. The patient is shown how to support the operative site while breathing deeply and coughing, and given pain medication as necessary. Fluid intake and output is measured, and the operative site is observed for color and wound drainage. Fluids are given intravenously for 24-48 hours, until the patient's diet is gradually advanced as bowel activity resumes. The patient is generally allowed to walk approximately eight hours after surgery and the average hospital stay, dependent upon overall recovery status, ranges from six to eight days.


Potential complications of this abdominal surgery include:
  • excessive bleeding
  • surgical wound infection
  • incisional hernia
  • recurrence of gastric ulcer
  • chronic diarrhea
  • malnutrition

Normal results

Complete healing is expected without complications. Four to six weeks should be allowed for recovery from the surgery.

Abnormal results

The doctor should be made aware of any of the following problems after surgery:
  • increased pain, swelling, redness, drainage, or bleeding in the surgical area
  • headache, muscle aches, dizziness, or fever
  • increased abdominal pain or swelling, constipation, nausea or vomiting, rectal bleeding, or black, tarry stools



"Peptic ulcer surgery." ThriveOnline. April 20, 1988.

Key terms

Gastric (or peptic) ulcer — An ulcer (sore) of the stomach, duodenum or other part of the gastrointestinal system. Though the causes are not fully understood, they include excessive secretion of gastric acid, stress, heredity, and the use of certain drugs, especially acetylsalicylic acid and nonsteroidal antiinflammatory drugs.
Pylorus — The valve which releases food from the stomach into the intestines.
Vagotomy — Cutting of the vagus nerve. If the vagus nerves are cut as they enter the stomach (truncal vagotomy), gastric secretions are decreased, as is intestinal motility (movement) and stomach emptying. In a selective vagotomy, only those branches of the vagus nerve are cut that stimulate the secretory cells.
Gale Encyclopedia of Medicine. Copyright 2008 The Gale Group, Inc. All rights reserved.


plastic surgery of the pylorus, especially for pyloric stricture, to provide a larger communication between the stomach and duodenum.
Finney pyloroplasty enlargement of the pyloric canal by establishment of an inverted U-shaped anastomosis between the stomach and duodenum after longitudinal incision.
Heineke-Mikulicz pyloroplasty enlargement of a pyloric stricture by incising the pylorus longitudinally and suturing the incision transversely.
Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition. © 2003 by Saunders, an imprint of Elsevier, Inc. All rights reserved.


Widening of the pyloric canal and any adjacent duodenal stricture by means of a longitudinal incision closed transversely.
[pyloro- + G. plastos, formed]
Farlex Partner Medical Dictionary © Farlex 2012


The surgical widening of the pyloric canal to facilitate emptying of gastric contents into the duodenum.
The American Heritage® Medical Dictionary Copyright © 2007, 2004 by Houghton Mifflin Company. Published by Houghton Mifflin Company. All rights reserved.


Pyloric stenosis repair, pyloromyotomy General surgery An elective procedure in which pyloric sphincter muscle near the serosa surface is cut longitudinally and resutured, relaxing muscle and widening the outlet to the duodenum, usually accompanied by vagotomy Indications Pts with gastric or peptic ulcer disease for whom conservative management has failed. See Peptic ulcer, Vagotomy Pediatric surgery An incision on the serosa of the pylorus in an infant with pyloric stenosis, which is associated with projectile vomiting of non-bile-tinged goo; pyloroplasty is the only effective and efficient treatment for pyloric stenosis. See Pyloric stenosis.
McGraw-Hill Concise Dictionary of Modern Medicine. © 2002 by The McGraw-Hill Companies, Inc.


Widening of the pyloric canal and any adjacent duodenal stricture by means of a longitudinal incision closed transversely.
[pyloro- + G. plastos, formed]
Medical Dictionary for the Health Professions and Nursing © Farlex 2012


An operation to widen the PYLORUS so as to allow free passage of food from the STOMACH into the intestine.
Collins Dictionary of Medicine © Robert M. Youngson 2004, 2005
References in periodicals archive ?
Williams, "Enhancing effect of vagotomy and pyloroplasty on gastrointestinal carcinogenesis induced by nitrosamide in hamsters," GANN Japanese Journal of Cancer Research, vol.
Swanstrom, "Laparoscopic and Endoscopic Pyloroplasty for Gastroparesis Results in Sustained Symptom Improvement," Journal of Gastrointestinal Surgery, vol.
We performed Heineke-Mikulicz pyloroplasty with transgastric tube jejunostomy and inserted a Hickman line for postoperative intravenous nutrition.
Two commonly used surgical procedures i.e., transverse pyloroplasty and Y-U advancement flap pyloroplasty were compared to observe the relieve of pyloric stenosis in dogs.
(2) Bezoars may occur following gastric surgery such as pyloroplasty or partial gastrectomy in association with vagotomy.
The definitive surgery with simple closure includes simple closure + gastrojejunostomy + vagotomy, simple closure + gastrojejunostomy, simple closure + partial gastrectomy, simple closure + antrectomy + agotomy and simple closure + pyloroplasty + vagotomy.
Pyloromyotomy and pyloroplasty are generally considered simple procedures, however, they may be complicated by stricture, leak, and even death (3).
(36,51,52) Indeed, when delayed gastric emptying is identified preoperatively, an improved clinical outcome is often observed post-Nissen fundoplication when combined with pyloroplasty. (36)
(2) Predisposing factors to bezoars, in addition to dietary behaviour, include previous gastric surgery, particularly partial gastrectomy or truncal vagotomy with pyloroplasty. (3) In adults, bezoars are most frequently encountered after gastric operations.
In general surgery, robotic systems have enhanced laparoscopic Heller myotomy, esophagectomy, pancreatectomy, pyloroplasty when performed at the time of antireflux surgery, and fashioning the posterior suture lines of Toupet fundoplication.
We are currently in the hospital for pyloroplasty surgery (to amend delayed gastric emptying) and the placement of a g-tube.
The common types of surgery for ulcers-- vagotomy, pyloroplasty, and antrectomy--are described below: