Double Incomplete Pyloromyotomy (A. Ezzat Technique): A New Technique for Infantile Hypertrophic Pyloric Stenosis: Preliminary Study


Background-Purpose: The study aimed to see the outcome of Double Incomplete Pyloromyotomy as new technique for surgical management of infantile hypertrophic pyloric stenosis (IHPS). Methods: This study was conducted in pediatric surgery unite, Zagazig University Hospital, Egypt. Fifteen patients were included in this study (11 male and 4 female) with IHPS from January 2012 to January 2013. Under general anesthesia, two longitudinal separated incisions at different planes as pyloromyotomy. Results: Postoperative vomiting and weight gain were recorded. Follow up period was 3 months. Vomiting improved within first 48 hours then stopped after that. Weight gain significantly increased after theoperation when compared preoperatively. Conclusion: Double Incomplete Pyloromyotomy is a new, safe and effective procedure for treatment of infantile hypertrophic pyloric stenosis.

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Rozeik, A. , Elsherbini, R. and Almaramhy, H. (2014) Double Incomplete Pyloromyotomy (A. Ezzat Technique): A New Technique for Infantile Hypertrophic Pyloric Stenosis: Preliminary Study. Open Journal of Pediatrics, 4, 253-256. doi: 10.4236/ojped.2014.44034.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Panteli, C. (2009) New Insights into Pathogenesis of Infantile Pyloric Stenosis. Pediatric Surgery International, 25, 1043-1052.
[2] Gotly, L., Bland, A., Kimble, R., et al. (2009) Pyloric Stenosis: A Retrospective Study of an Australian Population. Emergency Medicine Australasia, 21, 407-413.
[3] Chan, S.M., Chan, E.R., Chu, W.C., Cheung, S.T., Tam, Y.H. and Lee, K.H. (2011) Hypertrophic Pyloric Stenosis in a New Born: A Diagnostic Dilemma. Hong Kong Medical Journal, 17, 245-247.
[4] Mahalik, S., Prasad, A., Sinha, A. and Kulshrestha, R. (2010) Delayed Presentation of Hypertrophic Pyloric Stenosis: A Rare Case. Journal of Pediatric Surgery, 45, 9-11.
[5] Huang, Y.L., Lee, H.C., Yeung, C.Y., Chen, W.T., Jiang, C.B., Shew, J.C. and Wang, N.L. (2009) Sonogram before and after Pyloromyotomy: The Pyloric Ratio in Infantile Hypertrophic Stenosis. Pediatrics & Neonatology, 50, 117-120.
[6] Muramori, K., Nagasaki, Y. and Kawanami, T. (2002) Ultrasonographic Serial Measurement of Morphologic Resolution of the Pylorus after Ramstedt’s Pyloromyotomy for Infantile Hypertrophic Pyloric Stenosis. Journal of Ultrasound in Medicine, 26, 1681-1687.
[7] Aspelund, G. and Langer, J.C. (2007) Current Management of Hypertrophic Pyloric Stenosis. Seminars in Pediatric Surgery, 16, 27-33.
[8] Karen, W., Robert, H., Andrew, J.A., Caroline, K. and Nadia, B. (2010) Early Development Outcome of Infants with Infantile Hypertrophic Pyloric Stenosis. Journal of Pediatric Surgery, 45, 2369-2372.
[9] Esmaeel, T., John, B., Sherif, E., Sebastien, D., Pramod, P., Helen, F. and Jean, M. (2007) Evaluation of Surgical Approaches to Pyloromyotomy: A Single-Center Experience. Journal of Pediatric Surgery, 42, 865-868.
[10] Yagmurlu, A., Chalmer, J., Yoyngson, G., et al. (2004) Comparison of the Incidence of Complications in Open and Laparoscopic Pyloromyotomy: A Concurrent Single Institution Series. Journal of Pediatric Surgery, 39, 292-296.
[11] Alalayet, Y.F., Miserez, M., Mansoor, K. and Khan, A.M. (2009) Double-Y Pyloromyotomy: A New Technique for Surgical Management of Infantile Hypertrophic Pyloric Stenosis. European Journal of Pediatrics, 19, 17-20.
[12] Tam, P.K., Saing, H., Koo, J., et al. (1985) Pyloric Function Five to Eleven Years after Ramstedt’s Pyloromyotomy. Journal of Pediatric Surgery, 20, 236-239.
[13] Sun, W.M., Doran, S.M., Jones, K.L., Davidson, G., Dent, J. and Horowitz, M. (2000) Long-Term Effect of Pyloromyotomy on Motility and Gastric Emptying. The American Journal of Gastroenterology, 95, 92-100.
[14] Lasheen, A.E., Morsy, M.M. and Fiad, A.A. (2011) Segmental Internal Sphincterotomy: A New Technique for Treatment of Chronic Anal Fissure. Journal of Gastrointestinal Surgery, 15, 2271-2274.

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