Question
Treatment of choice for Condition shown (Arrow) in Photograph is
A. Endoscopic balloon dilation
B. Cyclosporin
C. Ramstedt’s pyloromyotomy
D. Gastroenterostomy
Show Answer
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Correct Answer » C
Explanation
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This condition is Hypertrophic pyloric stenosis
Ans is C Ramstedt’s pyloromyotomy
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 until the mucosa bulges out. If the 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
