After Surgery for Pyloric Stenosis (Pediatric)

After Surgery for Pyloric Stenosis (Pediatric)

Pyloric stenosis is a narrowing of the lower portion of the stomach (pylorus), the part that leads into the small intestine. As a result of the narrowing, food does not move easily into the intestine for digestion. The treatment for pyloric stenosis is called a pyloromyotomy. This surgery loosens muscles that are blocking the passageway from the stomach into the intestine. Here's what you need to know about home care following surgery.

Incision care

  • Give your baby sponge baths for 2 days after the surgery. After that, you can give your baby baths, but be sure to keep the incision above the water.
  • Keep your baby's incision clean and dry. Don't use lotions, powders, oils, or creams on the incision.
  • Don't remove the white strips (Steri-Strips) on your baby's incision. Let them fall off on their own. If surgical glue was used, it will peel off on its own within 5 to10 days.
  • When you lift your baby, support the baby's bottom and head. Don't lift the baby under the arms. This puts tension on the stitches and may cause pain.

Other home care

  • Breastfeed your baby on demand unless you are using formula.
  • Don't give your baby more than 3 ounces of formula every 3 hours for the first 3 days after discharge. After 3 days, gradually increase the formula.
  • If instructed by your child's doctor, give your baby acetaminophen (Tylenol) for pain if needed. First, ask your child's doctor about what signs to watch for to know your baby is in pain.
    • Always read and follow the package instructions.
    • Ask your child's doctor how much medicine to give your child and how often. If your child is younger than 24 months of age, always consult your child's doctor before giving acetaminophen.
    • Don't give more than 5 dosages or the maximum daily dose in any 24-hour period.
  • Don't worry about limiting your baby's activity. Most babies tolerate normal activity soon after surgery.

Follow-up care

Make a follow-up appointment as directed by our staff.

When to seek medical care

Call your doctor right away if your baby has any of the following:

  • Fever above 100.4?F (38.0?C)
  • Redness, swelling, or smelly drainage at the incision site
  • Pain that is not relieved by medication
  • Signs of dehydration
    • Fewer wet diapers per day
    • Sunken appearance to the soft spot (fontanel) on your baby's head
    • No tears when the baby cries
  • Vomiting more than 3 times in a row or vomiting that lasts longer than 48 hours after discharge