CPT® Code 43800

The procedure known as pyloroplasty involves the surgical modification of the pyloric sphincter, which is a muscular valve located at the lower end of the stomach. This sphincter plays a critical role in regulating the passage of food from the stomach into the duodenum, the first part of the small intestine. Under normal circumstances, the pyloric sphincter prevents the backflow of contents from the duodenum into the stomach, thereby maintaining proper digestive function. However, in cases where the sphincter becomes excessively tight, a condition termed pyloric stenosis can occur. This condition can lead to complications such as gastroesophageal reflux, where stomach contents flow back into the esophagus, or peptic ulcer disease, which is characterized by sores on the stomach lining. The primary objective of pyloroplasty is to alleviate the tightness of the sphincter, thereby enhancing the flow of food into the duodenum. The surgical technique involves making a midline incision in the abdominal wall to access the stomach and duodenum. Once exposed, the pylorus is carefully divided laterally and then sutured in a longitudinal manner to create a wider opening, facilitating improved passage of food. Finally, the abdominal incision is meticulously closed in layers to promote proper healing and recovery.