| Two Cases Antral Webs and One Case of Pyloric Web in Children |
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Young Mee Yoo1, Hann Tchaha1, Jeong Kee Seo1, Kui Won Park2, Woo Ki Kim2, Kyung Mo Yeon3 |
1Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea
2Department of Pediatric Surgery, Seoul National University College of Medicine, Seoul, Korea
2Department of Pediatrics Surgery, Seoul National University College of Medicine, Seoul, Korea
3Department of Radiology, Seoul National University College of Medicine, Seoul, Korea |
| 영유아 유문동 격막 2례와 유문부 격막 1례 |
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유영미1, 차한1, 서정기1, 박귀원2, 김우기2, 연경모3 |
1서울대학교 의과대학 소아과학교실
2서울대학교 의과대학 소아외과학교실
2서울대학교 의과대학 소아외과학교실
3서울대학교 의과대학 진단방사선과학교실 |
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| Abstract |
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Antral or prepyloric mucosal diaphragms (webs) are composed of mucosa which enclose a membrane of submucosa and located at the antrum of the stomach at variable distances from the pylorus. They may be congential in origin or secondary to chronic peptic ulcer disease. Obstructive symptoms occur when diaphragmatic aperture is less than 1 centimeter. The diagnosis relies on the history, UGIS and gastric endoscopic findings or not infrequently will be made at laparotomy. Surgical treatment is recommended for patients who have obstructive symptoms. Antral web or pyloric web, although rare, should be considered in the differential diagnosis of upper gastrointestinal obstructive symptoms in patients of any age.
We reported three young children with the presenting symptoms of persistent nonbilous vomiting and hematemesis. The gastrofiberendoscopy and the UGIS revealed pyloric or antral stenosis with ulcerations. The prepyloric antral webs in two patients and the pyloric web in one patient were diagnosed at surgery.
All patients remained asymptomatic after operation. |
| Key Words:
Antral Web, Prepyloric Web, Pyloric Web |
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