Although safe, curative, and performed virtually without operative mortality, pyloromyotomy is not without potential complication. Duodenal or gastric perforation, the most serious of complications, rarely occurs but, if unrecognized prior to wound closure, may have devastating or lethal consequences. The infant with an enteric Pyloric stenosis , developing after repair of tracheoesophageal fistula, has been reported and has been observed in a number of our own patients. This observation has applicability to the postoperative TEF repair patient who develops vomiting. Pyloric stenosis in addition to GER should be considered in these patients.
Many surgeons advocate early, incremental feeding in the immediate postoperative period .