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KMID : 1038820180210040351
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Pediatric Gastroenterology, Hepatology & Nutrition
2018 Volume.21 No. 4 p.351 ~ p.354
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Endoscopic Balloon Dilation for Treatment of Congenital Antral Web
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Peck Jacquelin
Khalaf Racha
Marth Ryan
Phen Claudia
Sosa Roberto
Cordero Francisco Balsells
Wilsey Michael
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Abstract
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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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KEYWORD
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Gastric outlet obstruction, Pediatrics, Vomiting, Failure to thrive, Endoscopy
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