Prepyloric gastric antral web: A puzzling epidemic

Martin J. Bell, Jessie L. Ternberg, James P. Keating, Sri Moedjona, William McAlister, Gary D. Shackelford

Research output: Contribution to journalArticle

33 Scopus citations

Abstract

Antral webs and diaphragms are considered a rare cause of gastric outlet obstruction in infants and children. A radiographic diagnosis of antral web was made in 28 children during a 26-mo period. Nonbilious, often projectile vomiting was the predominant presenting symptom in 24 infants who were less than 6 mo of age. The older children complained of pain, vomiting, fullness after eating, and eructation. The characteristic radiologic finding was a wire-like transverse septum 1-2 cm proximal to the pylorus. Poor antral filling was an important early clue in the radiographic search for the webs. Pyloroplasty was performed in 20 patients, frequently after failure of medical management of symptoms. Coexistent congenital abnormalities were present in 28% of patients. A search for environmental and familial factors has failed to elucidate any teratogenic influences in this population.

Original languageEnglish
Pages (from-to)307-313
Number of pages7
JournalJournal of Pediatric Surgery
Volume13
Issue number3
DOIs
StatePublished - Jun 1978
Externally publishedYes

Keywords

  • Antral web
  • pyloroplasty

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    Bell, M. J., Ternberg, J. L., Keating, J. P., Moedjona, S., McAlister, W., & Shackelford, G. D. (1978). Prepyloric gastric antral web: A puzzling epidemic. Journal of Pediatric Surgery, 13(3), 307-313. https://doi.org/10.1016/S0022-3468(78)80405-9