Introduction: Most cases of infantile pyloric stenosis are seen in community hospitals and are treated by general surgeons performing open pyloromytomy (Cosper GC et al, Am Surg 2006;72:739). Residents in general surgery may finish training with fewer than four operations for pyloric stenosis, a number that may not be adequate for competency (Cosper GC et al, J. Pediatr. Surg 2008, in press). In addition, with most cases being diagnosed by ultrasonography, palpating the pyloric tumor on physical examination may become a "lost art" among surgeons in training. The diagnosis and treatment of pyloric stenosis is considered part of the basic curriculum of general surgical training. The Surgical Council on Resident Education (SCORE) is a consortium of six major surgical organizations with the responsibility of developing a national curriculum in general surgery. To support the education of general surgery residents as part of SCORE, we produced this video.

Methods: The film's first section demonstrates a technique of palpating the pyloric tumor. The second section demonstrates an open pyloromyotomy.

Results: A pyloric tumor is clearly seen in the video. The author takes a junior resident through the case.

Conclusion: The websites of the American College of Surgeons and the American Pediatric Surgical Association do not have videos or images of the diagnosis and operative management of pyloric stenosis. As part of the ACS Video Library and SCORE this video will add to pediatric surgical education at the medical student and resident levels.