Endoscopic resection of an obstructing antral web in an infant |
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| Authors: | Dr. L. J. Brandt S. J. Boley F. Daum S. Kleinhaus |
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| Affiliation: | (1) Division of Gastroenterology, Department of Medicine, Pediatric Surgical Division, Department of Surgery, Montefiore Hospital, 10467 Bronx, New York;(2) Joseph C. and Claire Goodman Pediatric Gastroenterological Research Laboratory, Department of Pediatrics, Montefiore Hospital, 10467 Bronx, New York;(3) Medical Center, Albert Einstein College of Medicine, Bronx, New York;(4) Montefiore Hospital, 111 East 210 St., 10467 Bronx, New York |
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| Abstract: | ![]()
Summary An antral web was discovered during the work-up of postcibal vomiting in an 18-month-old infant. An omphalocele repair had been performed previously and altered intraperitoneal anatomic relationships favored an endoscopic approach to web resection. The method devised was successful in removing the web; however, six weeks later laparotomy was necessary because of recurrent vomiting. At surgery the web was completely gone, although a circumferential ulcer was now present at the site of the prior web. Antroplasty was curative. An endosopic approach to antral webs is feasible and may in certain cases obviate laparotomy. |
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