Gastric antral web
Gastric antral web is a rare cause of gastric outlet obstruction with an incidence of 1 in 100,00 births. Only about 150 cases have been reported. Antral web is a thin fenestrated diaphragm made up of 2 layers of mucosa and usually lacking muscular component. Evidence of it being both of congenital...
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2021
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oai:doaj.org-article:9540e04768b244e79640963e8ca792462021-11-24T04:29:25ZGastric antral web2213-576610.1016/j.epsc.2021.102066https://doaj.org/article/9540e04768b244e79640963e8ca792462021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2213576621002876https://doaj.org/toc/2213-5766Gastric antral web is a rare cause of gastric outlet obstruction with an incidence of 1 in 100,00 births. Only about 150 cases have been reported. Antral web is a thin fenestrated diaphragm made up of 2 layers of mucosa and usually lacking muscular component. Evidence of it being both of congenital or acquired cause has been reported, but the theory of localized endodermal proliferation during developmental stage is the most accepted. The most common presentation is of non-bilious vomiting and often diagnosed in infancy however diagnosis can be delayed due to non obstructive nature of symptoms. It is often misdiagnosed as infantile hypertrophic pyloric stenosis or pylorospasm. It can be confirmed with Barium enhanced radiographs of upper GIT, ultrasound and endoscopy. The non symptomatic antral web can be advised supportive measures but in the symptomatic group surgery is the treatment of choice. Antral web excision with or without pyloroplasty is done. It has good prognosis.Mridul Prasad JoshiPravin JaiswalRoshan ShahElsevierarticleGastric outlet obstructionGastric antral webInfantile hypertrophic pyloric stenosisNon-bilious vomitingPediatricsRJ1-570SurgeryRD1-811ENJournal of Pediatric Surgery Case Reports, Vol 75, Iss , Pp 102066- (2021) |
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Gastric outlet obstruction Gastric antral web Infantile hypertrophic pyloric stenosis Non-bilious vomiting Pediatrics RJ1-570 Surgery RD1-811 |
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Gastric outlet obstruction Gastric antral web Infantile hypertrophic pyloric stenosis Non-bilious vomiting Pediatrics RJ1-570 Surgery RD1-811 Mridul Prasad Joshi Pravin Jaiswal Roshan Shah Gastric antral web |
description |
Gastric antral web is a rare cause of gastric outlet obstruction with an incidence of 1 in 100,00 births. Only about 150 cases have been reported. Antral web is a thin fenestrated diaphragm made up of 2 layers of mucosa and usually lacking muscular component. Evidence of it being both of congenital or acquired cause has been reported, but the theory of localized endodermal proliferation during developmental stage is the most accepted. The most common presentation is of non-bilious vomiting and often diagnosed in infancy however diagnosis can be delayed due to non obstructive nature of symptoms. It is often misdiagnosed as infantile hypertrophic pyloric stenosis or pylorospasm. It can be confirmed with Barium enhanced radiographs of upper GIT, ultrasound and endoscopy. The non symptomatic antral web can be advised supportive measures but in the symptomatic group surgery is the treatment of choice. Antral web excision with or without pyloroplasty is done. It has good prognosis. |
format |
article |
author |
Mridul Prasad Joshi Pravin Jaiswal Roshan Shah |
author_facet |
Mridul Prasad Joshi Pravin Jaiswal Roshan Shah |
author_sort |
Mridul Prasad Joshi |
title |
Gastric antral web |
title_short |
Gastric antral web |
title_full |
Gastric antral web |
title_fullStr |
Gastric antral web |
title_full_unstemmed |
Gastric antral web |
title_sort |
gastric antral web |
publisher |
Elsevier |
publishDate |
2021 |
url |
https://doaj.org/article/9540e04768b244e79640963e8ca79246 |
work_keys_str_mv |
AT mridulprasadjoshi gastricantralweb AT pravinjaiswal gastricantralweb AT roshanshah gastricantralweb |
_version_ |
1718415992260919296 |