The first type of pyloroplasty is the “open” pyloroplasty. This means that you have to cut open your stomach and remove part of it. You then need to stitch up the wound so that it doesn’t reopen. The procedure is not very common and usually only done when there are other problems with your stomach or you don’t want to go through the pain of having it stitched up. If you decide to do this surgery, make sure that you get some sort of anesthesia because if you don’t, it could cause severe side effects such as death.
Another type of pyloroplasty is called “closed”. This means that you will take out part of your stomach and put it back together. You still need to stitch up the wound but you won’t have any problems with reopening it.
In both cases, you’ll probably end up needing stitches again in the future (and possibly several times) and may even develop ulcers from eating certain foods which are difficult to digest due to the damage caused by the scar tissue in your stomach.
Life After Pyloroplasty:
One of the main concerns people have is whether or not they will be able to eat and digest food normally after their surgery. In some cases, patients can develop complications where they can’t eat normally after the surgery. In other cases, you may not be able to eat as much since your stomach will not have as much space to expand. You will also feel full quicker and may have to eat less in order to prevent stomach aches.
The main complications that happen during any kind of stomach procedure are excessive bleeding from the wound that won’t stop. If you experience this, you will need medical help right away before you go into shock. An additional risk would be if there are problems with your intestines. If they get blocked for any reason, you will develop a serious blockage which may require a second surgery in order to fix.
Other concerns with Pyloroplasty:
If you are a female, there is a concern that the procedure may cause miscarriages. While this isn’t very common, it is still wise to understand the risks of having children after any kind of stomach surgery. It may be necessary to use birth control after the procedure if you’re trying to conceive.
If you’re a male, the risk of impotence is higher after this procedure. This problem will likely be permanent and you may experience problems with your ability to have children as well.
The most common complaint with this surgery is that food doesn’t stay down as long. After the surgery, you may experience vomiting due to how quickly your food leaves your stomach. This can be very dangerous if you eat something that doesn’t agree with you and may result in you losing fluids and minerals that your body needs to survive.
In the 1960’s, a new kind of pyloroplasty was developed for patients with ulcers and other digestive problems. This procedure involved removing part of the stomach and bypassing part of the intestines. It was successful as far as treating the problem but it also had negative side effects because food was being sent to the intestines too quickly. The treatment didn’t completely eliminate all problems that were occurring in the intestines so additional surgeries were needed to fix the problem.
In the 1980’s, another pyloroplasty procedure was developed that involved the removal of a portion of the stomach and bypassing part of the intestines. The surgery resulted in some complications such as excessive vomiting and other negative effects. Although the surgeries were successful in relieving ulcers for some people, others were not so fortunate. Some people still had problems with their intestines and additional surgeries were needed to correct these problems as well.
The Future of Pyloroplasty:
In the future, there are new developments that may make surgery unnecessary for treating ulcers and GERD. H+K 477 is a drug that is currently in development by RegazRx Pharmaceuticals for the treatment of ulcers. The drug works by protecting the stomach’s lining and preventing ulcers from forming. It is still in the early stages of testing but it is showing a great deal of promise. The drug works by coating the lining of the stomach.
It also reduces acid production and protects the stomach from bile. The development of this drug may lead to better treatment methods for ulcers in the future.
If you need information about Pyloroplasty or other treatment methods, you can speak with a physician online through eMedicineHealth’s patient support system. A doctor can explain the risks and benefits of the procedure and help you decide if it’s right for you.
Sources & references used in this article:
Pyloroplasty/pylorectomy shield by JJ Pietrafitta, RD Adams – US Patent 5,445,644, 1995 – Google Patents
Vagotomy and pyloroplasty in the treatment of duodenal ulcer by JA Weinberg, SJ Stempien, HJ Movius… – The American Journal of …, 1956 – Elsevier
Gastric emptying after vagotomy and pyloroplasty by JS Cobb, S Bank, IN Marks, JH Louw – The American Journal of Digestive …, 1971 – Springer
Laparoscopic and endoscopic pyloroplasty for gastroparesis results in sustained symptom improvement by ML Hibbard, CM Dunst, LL Swanström – Journal of Gastrointestinal …, 2011 – Springer
Esophagogastrectomy without pyloroplasty by V Velanovich – Diseases of the Esophagus, 2003 – academic.oup.com
Pattern of gastric emptying after vagotomy and pyloroplasty by MR Colmer, GM Owen, R Shields – Br Med J, 1973 – bmj.com
Method of performing a pyloroplasty/pylorectomy using a stapler having a shield by JJ Pietrafitta, RD Adams – US Patent 5,355,897, 1994 – Google Patents
Pyloroplasty versus no drainage in gastric replacement of the esophagus by M Fok, SWK Cheng, J Wong – The American journal of surgery, 1991 – Elsevier
Five-to eight-year results of truncal vagotomy and pyloroplasty for duodenal ulcer by JC Goligher, CN Pulvertaft, TT Irvin, D Johnston… – Br Med J, 1972 – bmj.com