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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2014/09/10 10:01:39」(JST)
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Pyloromyotomy is a surgical procedure in which an incision is made in the longitudinal and circular muscles of the pylorus. It is used to treat hypertrophic pyloric stenosis. Hypertrophied muscle is cut along the whole length, till mucosa bulges out. If mucosa is injured, it is sutured horizontally using interrupted vicryl or silk sutures.[1] It is also known as Ramstedt's Operation, after Conrad Ramstedt who performed the procedure in 1911. However, it was actually Harold Stiles who first performed the procedure in 1910.
Notes
- ^ Bhat, Sriram (2010). SRB manual of Surgery. New Delhi: Jaypee Publications. p. 877.
References
- Bax, Klaas M. A.; Georgeson, Keith E.; Rothenberg, Steven S. (2008). Endoscopic Surgery in Infants and Children. Springer. p. 281. ISBN 978-3-540-49910-7. Retrieved 2013-01-01.
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Digestive system surgical and other procedures / Digestive system surgery (ICD-9-CM V3 42–54, ICD-10-PCS 0D)
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| Digestive tract |
| Upper GI tract |
| SGs / Esophagus |
- Esophagectomy
- Heller myotomy
- Sialography
- Impedance–pH monitoring
- Esophageal pH monitoring
- Esophageal motility study
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| Stomach |
- Bariatric surgery
- Adjustable gastric band
- Gastric bypass surgery
- Sleeve gastrectomy
- Vertical banded gastroplasty surgery
- Collis gastroplasty
- Gastrectomy
- Billroth I
- Billroth II
- Roux-en-Y
- Gastroenterostomy
- Gastropexy
- Gastrostomy
- Percutaneous endoscopic gastrostomy
- Hill repair
- Nissen fundoplication
- Pyloromyotomy
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| Medical imaging |
- Endoscopy: Esophagogastroduodenoscopy
- Barium swallow
- Upper gastrointestinal series
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| Lower GI tract |
| Small bowel |
- Bariatric surgery
- Duodenal switch
- Jejunoileal bypass
- Ileostomy
- Jejunostomy
- Partial ileal bypass surgery
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| Large bowel |
- Appendicectomy
- Colectomy
- Colonic polypectomy
- Colostomy
- Hartmann's operation
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| Rectum |
- Abdominoperineal resection / Miles operation
- Lower anterior resection
- Total mesorectal excision
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| Anal canal |
- Anal sphincterotomy
- Anorectal manometry
- Lateral internal sphincterotomy
- Rubber band ligation
- Transanal hemorrhoidal dearterialization
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| Medical imaging |
- Endoscopy: Colonoscopy
- Anoscopy
- Capsule endoscopy
- Enteroscopy
- Proctoscopy
- Sigmoidoscopy
- Abdominal ultrasonography
- Defecography
- Double-contrast barium enema
- Endoanal ultrasound
- Enteroclysis
- Lower gastrointestinal series
- Small-bowel follow-through
- Transrectal ultrasonography
- Virtual colonoscopy
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| Stool tests |
- Fecal fat test
- Fecal pH test
- Stool guaiac test
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| Accessory |
| Liver |
- Artificial extracorporeal liver support
- Bioartificial liver devices
- Liver dialysis
- Hepatectomy
- Liver biopsy
- Liver transplantation
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| Gallbladder, bile duct |
- Cholecystectomy
- Cholecystostomy
- ERCP
- Hepatoportoenterostomy
- Medical imaging: Cholangiography
- Cholecystography
- Cholescintigraphy
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| Pancreas |
- Frey's procedure
- Pancreas transplantation
- Pancreatectomy
- Pancreaticoduodenectomy
- Puestow procedure
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| Abdominopelvic |
| Peritoneum |
- Diagnostic peritoneal lavage
- Intraperitoneal injection
- Laparoscopy
- Omentopexy
- Paracentesis
- Peritoneal dialysis
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| Hernia |
- Hernia repair: Inguinal hernia surgery
- Femoral hernia repair
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| Other |
- Laparotomy
- Rapid urease test / Urea breath test
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| CPRs |
- MELD
- PELD
- UKELD
- Child-Pugh score
- Ranson criteria
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noco/cong/tumr, sysi/epon
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UpToDate Contents
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English Journal
- Response to epidural anesthesia in neonates for pyloromyotomy and accompanying editorial.
- Schwartz D, McNeely M.SourceDepartment of Anesthesiology, Baystate Medical Center, Springfield, MA, USA Email: donald.schwartz@bhs.org.
- Paediatric anaesthesia.Paediatr Anaesth.2011 Aug;21(8):907. doi: 10.1111/j.1460-9592.2011.03556.x.
- PMID 21718380
Japanese Journal
- 肥厚性幽門狭窄症根治術に対する超音波ガイド下神経ブロックの臨床経験
- 小児科領域における研究と治療の進歩(12)小児科領域における研究と治療の進歩-小児内視鏡(腹腔鏡・胸腔鏡)手術-
- 世川 修,SEGAWA Osamu
- 東京女子医科大学雑誌 81(5), 356-362, 2011-10-25
- 小児外科領域における内視鏡(腹腔鏡、胸腔鏡)手術は、1992年頃よりまず腹腔鏡手術の報告が散見され始めた。当時は、小児の狭い腹腔内で、成人の内視鏡手術用の器具を使用していただけでなく、気腹に対する小児麻酔の安全性も確立されていなかったため、技術面および安全面で大きな問題があった。しかし、小児では小手術においても全身麻酔を必要とする、悪性疾患が少ない、などの特殊性があり、成人に比して極めて小さい対象 …
- NAID 110008672487
Related Links
- Pyloromyotomy is a surgical procedure done on infants who are suffering from pyloric stenosis. Pyloric stenosis occurs when the muscle surrounding the lower opening ...
- Be it during my wife's pregnancy or during my 40-day-old son's (the second child) pyloromyotomy surgery, the standard service we have received was really great.
Related Pictures
★リンクテーブル★
[★]
- 英
- pyloromyotomy, pylorotomy
- 同
- 幽門筋切離術 ラムステッド手術 Ramstedt operation、粘膜外幽門筋切離術 extramucosal pyloromyotomy
- ラムステット・ウェーバー幽門筋切開術 Ramstedt-Weber pyloromyotomy
[show details]
- 肥厚性幽門狭窄症に対する外科手術
- 漿膜から粘膜下組織まで粘膜が漿膜面に突出するまで幽門筋の切離を完全に行い、創は開放にするか大網でおおう。
- 十二指腸側は壁が薄く穿孔しやすいため穿孔のないことを確かめる。
<youtube>http://www.youtube.com/watch?v=lGhbvcoJH6Q</youtube>
<youtube>http://www.youtube.com/watch?v=FnDAS1Zj-H4</youtube>
-Ramstedt手術
[★]
- 英
- pyloromyotomy, extramucosal pyloromyotomy???
- 関
- Ramstedt法
[★]
ラムステット・ウェーバー幽門筋切開術
[★]
粘膜外幽門筋切離術