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UNUSUAL CASE
Ahead of Print

Successful endoscopic treatment of an obstructing gastric antral web in a paediatric patient: A case report


1 Department of Pediatric Surgery, General Hospital, Tianjin Medical University, Tianjin, China
2 Department of Gastroenterology and Hepatology, General Hospital, Tianjin Medical University, Tianjin, China

Correspondence Address:
Da-Qing Sun,
Department of Pediatric Surgery, General Hospital, Tianjin Medical University, 154 An-Shan Road, Heping District, Tianjin 300052
China
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmas.JMAS_200_20

Gastric antral web (GAW) is a rare anomaly of the gastric antrum and can result in gastric outlet obstruction. Currently, endoscopic treatment of GAW is considered challenging due to high technical requirements and restenosis. Herein, we present a rare case of a paediatric patient with GAW cured by endoscopic transection and partial resection of the web. An 8-year-old boy was admitted because of a 9-month history of postprandial fullness and intermittent non-bilious vomiting of gastric contents. On performing upper gastrointestinal contrast and gastroscopy, the diagnosis of GAW was confirmed. Then, three electroincisions were performed in a radial fashion. Moreover, about a third of the web located in the larger curvature was resected. On follow-up for 6 months, the patient was completely relieved of the postprandial fullness and non-bilious vomiting. Hence, endoscopic treatment for GAW was considered safe and effective for this case. Furthermore, partial resection of the web contributed in avoiding restenosis.


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    -  Ren BB
    -  Jiang K
    -  Wang T
    -  Sun DQ
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2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04