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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Autores principales: Mridul Prasad Joshi, Pravin Jaiswal, Roshan Shah
Formato: article
Lenguaje:EN
Publicado: Elsevier 2021
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Acceso en línea:https://doaj.org/article/9540e04768b244e79640963e8ca79246
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Gastric outlet obstruction
Gastric antral web
Infantile hypertrophic pyloric stenosis
Non-bilious vomiting
Pediatrics
RJ1-570
Surgery
RD1-811
spellingShingle 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
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