Luke's Medical Center and Rocky Mountain Hospital for Children are proud to offer adolescent and pediatric robotic procedures for the following conditions: Appendectomy, Intestinal resection, Choledochal Cyst, Cholecystectomy, Splenectomy, Partial Splenectomy, Adrenalectomy, Nissen Fundoplication, Heller Myotomy, Pyloroplasty
, Intestinal Resection, Ileostomy, Colon Resection, Colectomy with Pull Through, Correction of Malrotation and Ovarian Cyst Removal.
Few of the large majority of esophagectomies had a pyloroplasty
performed and the rest had dilatation (digital) with an invagination pair of surgical fingers by the operating surgeon (p =0.82).
However, if feasible, a trans-antral approach may be more forgiving than a duodenotomy (given the relative weakness of the duodenum) and the potentially deleterious effects of a pyloroplasty
Ivankovic, "Does vagotomy and pyloroplasty
change the location of gastrointestinal tumors?" World Journal of Surgery, vol.
These therapies include botulinum toxin injection, endoscopic transpyloric stent placement and fixation, and laparoscopic pyloroplasty
. Several open-labelled studies on botulinum toxin injection [19-22] observed improvements in gastric emptying and symptoms for several months.
The surgical procedure was determined by the operating surgeon and either one of omental patch with Graham's procedure, bilateral truncal vagotomy with pyloroplasty
or, antrectomy and gastroenterostomy was applied.
Antireflux procedures including fundoplication, gastric tube formation, pyloroplasty
, and esophagopexy with crural repair have been attempted in order to reduce the incidence of anastomotic stricture and reflux esophagitis.
Previous gastric surgeries including partial gastrectomy, vagotomy, and pyloroplasty
, peptic ulcer disease, achalasia, GI malignancies, Crohn's disease, hypothyroidism, presence of hiatal hernia, and in elderly patients neuropathic or myotonic dystrophy are among the major ones.
Medina, "Simple closure or vagotomy and pyloroplasty
for the treatment of a perforated duodenal ulcer: Comparison of results," Digestive Surgery, vol.
All the patients were treated by bilateral truncal vagotomy and Weinberg pyloroplasty
. Two biopsies were taken from the antral mucosa by endoscopic biopsy forceps.
A drainage procedure such as pyloroplasty
is recommended to avoid delayed gastric emptying (recommendation class I, level of evidence B).
Most common surgeries for peptic strictures include vagotomy and antrectomy vagotomy and pyloroplasty
truncalvagotomy and gastrojejunostomy pyloroplasty
and laparoscopic variants.