Pediatric Gastroenterology, Hepatology & Nutrition

The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition (대한소아소화기영양학회)
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Endoscopic Balloon Dilation for Treatment of Congenital Antral Web

  • Peck, Jacquelin (Pediatric Anesthesiology, Hepatology and Nutrition, Children's Hospital of Colorado) ;
  • Khalaf, Racha (Pediatric Gastroenterology, Hepatology and Nutrition, Children's Hospital of Colorado) ;
  • Marth, Ryan (College of Arts and Science, University of South Florida St. Petersburg) ;
  • Phen, Claudia (Office of Medical Education, Johns Hopkins All Children's Hospital) ;
  • Sosa, Roberto (International Medicine, Johns Hopkins All Children's Hospital) ;
  • Cordero, Francisco Balsells (Gastroenterologia Pediatrica, Hospital Herrera Llerandi) ;
  • Wilsey, Michael (Pediatric Gastroenterology, Johns Hopkins All Children's Hospital)
  • Received : 2017.12.01
  • Accepted : 2018.02.14
  • Published : 2018.10.15
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Abstract

Congenital antral webs are a rare but relevant cause of gastric outlet obstruction in infants and children. The condition may lead to feeding refusal, vomiting, and poor growth. Due to the relative rarity of the disease, cases of congenital antral web are frequently misdiagnosed or diagnosed with significant delay as physicians favorably pursue diagnoses of pyloric stenosis and gastric ulcer disease, which are more prevalent. We report a case of an eight-month-old female who presented with persistent non-bilious emesis, feeding difficulties, and failure to thrive and was discovered to have an antral web. The web was successfully treated with endoscopic balloon dilation, which resolved her symptoms. Two years later, the patient remains asymptomatic and is thriving with weight at the 75th percentile for her age.

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References

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Cited by

  1. Staged endoscopic balloon dilatation for cicatricial pyloric stenosis in children vol.2019, pp.8, 2018, https://doi.org/10.17116/hirurgia201908185
  2. Clinical Presentations, Diagnosis, and Management for Pediatric Antral Web-A 20-Year Experience of a Referral Center vol.9, pp.None, 2018, https://doi.org/10.3389/fped.2021.753076