A history of the surgical correction of pyloric stenosis

J Pediatr Surg. 2021 Oct;56(10):1904-1907. doi: 10.1016/j.jpedsurg.2021.05.009. Epub 2021 May 26.


Infantile hypertrophic pyloric stenosis (IHPS) is a complex disorder with an incidence from 4 to 5 per 1000 live births with a strongly male predilection. The natural history of this initially fatal condition with nearly 100% mortality has evolved to a disease with a good prognosis. Pyloromyotomy by Ramstedt was first described 110 years ago and still remains the standard of surgical treatment for patients with IHPS. The laparoscopic approach is becoming more common and is the preferred method of treatment now in many centres.

Keywords: Conrad Ramstedt; Harold Stiles; History of paediatric surgery; Hypertrophic pyloric stenosis; Pyloromyotomy; Pyloroplasty.

Publication types

  • Review

MeSH terms

  • Humans
  • Infant
  • Male
  • Pyloric Stenosis, Hypertrophic* / surgery
  • Pyloromyotomy*