Mucosal Injury during Pyloromyotomy: A Report of Three Cases and Review of Literature

Abstract

Mucosal perforation/injury during pyloromyotomy is a rare and frantic complication. The classical technique of repair is a full-thickness approximation (both mucosal repair and serosal repair) and re-pyloromyotomy at the opposite site. Alternatively, the simple primary mucosal repair is also reported. Such mucosal injury can be repaired with equal efficacy using both the classical full-thickness repair and pyloric rotation and primary closure technique in terms of complications and outcome. Here, we describe three cases of iatrogenic mucosal injury, which were treated successfully by full-thickness repair in two cases and one case with a primary mucosal repair.

Keywords

• electrolyte
• full-thickness
• mucosal perforation
• primary mucosal repair
• pyloric stenosis
• pyloromyotomy