A 5-week-old infant presents with forceful, non-bilious projectile vomiting after every feed. On examination, the infant shows signs of dehydration, weight loss, and a small olive-shaped mass is palpated in the right upper abdomen with visible peristaltic waves. ABG analysis reveals metabolic alkalosis. Which is the most appropriate definitive management for this condition?

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Medical Science · Pediatric Surgery

Verified Solution4 OptionsUpdated: October 2026👁️1 View

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Pyloromyotomy (Ramstedt's procedure)

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Answer 1

Surgical creation of a feeding gastrostomy

Answer 2

Pyloromyotomy (Ramstedt's procedure)

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Oral rehydration therapy alone

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