{"id":1555,"date":"2024-09-17T15:33:00","date_gmt":"2024-09-17T12:33:00","guid":{"rendered":"https:\/\/pediatria-spisanie.eu\/2024\/09\/17\/klinichen-sluchai-na-dete-s-vrodena-antralna-mreja\/"},"modified":"2025-05-18T21:43:49","modified_gmt":"2025-05-18T18:43:49","slug":"klinichen-sluchai-na-dete-s-vrodena-antralna-mreja","status":"publish","type":"post","link":"https:\/\/pediatria-spisanie.eu\/en\/2024\/09\/17\/klinichen-sluchai-na-dete-s-vrodena-antralna-mreja\/","title":{"rendered":"Case Report of a Child with a Congenital Antral Web and Clinical Symptoms of Gastroesophageal Reflux Disease"},"content":{"rendered":"\n\n\t\t<div class=\"icon-box featured-box icon-box-left text-left is-small\"  >\n\t\t\t\t\t<div class=\"icon-box-img\" style=\"width: 20px\">\n\t\t\t\t<div class=\"icon\">\n\t\t\t\t\t<div class=\"icon-inner\" >\n\t\t\t\t\t\t<img decoding=\"async\" width=\"48\" height=\"48\" src=\"https:\/\/pediatria-spisanie.eu\/wp-content\/uploads\/2024\/12\/icons8-user-48.png\" class=\"attachment-medium size-medium\" alt=\"\" \/>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t<div class=\"icon-box-text last-reset\">\n\t\t\t\t\t\t\t\t\t\n<h3>D. Kofinova, E. Lazarova, N. Tolekova, P. Mutafchieva, Ya. Pakhnev,\nE. Rangelov, Ts. Georgiev <\/h3>\n<p> <\/br>\n<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t\n<div class=\"is-divider divider clearfix\" ><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Abstract<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Gastric antral web is a thin mucous membrane localized approximately 2 cm proximally to the<br>prepyloric region which causes gastric outlet obstruction. Clinical manifestations include recurrent<br>vomiting of nonbilious material, feeding difficulties, nausea, early satiety and epigastric pain. The<br>symptoms are non-specific and often those patients are misdiagnosed with gastroesophageal reflux<br>disease, food allergies and other diseases. We present a clinical case of a thirteen-month-old girl with<br>gastric antral web, who has been treated six months for \u0430 gastroesophageal reflux disease. After initiation<br>of complementary feeding vomiting exacerbated, hematemesis with melena and failure to thrive occurred.<br>The patient has been successfully surgically treated without any complications.<br><strong>Key words: <\/strong>antral web, child, GERD, vomitin g<\/p>\n\n\n<div class=\"is-divider divider clearfix\" ><\/div>\n\n\n\t\t<div class=\"wp-block-woocommerce-memberships-member-content\">\n\t\t\t\t\t<div class=\"woocommerce\">\n\t\t\t<div class=\"woocommerce-info wc-memberships-restriction-message wc-memberships-message wc-memberships-content-restricted-message\">\n\t\t\t\tTo access this content, you must purchase <span class=\"wc-memberships-products-grant-access\"><a href=\"https:\/\/pediatria-spisanie.eu\/en\/produkt\/godishen-abonament\/\">\u0413\u043e\u0434\u0438\u0448\u0435\u043d \u0430\u0431\u043e\u043d\u0430\u043c\u0435\u043d\u0442<\/a><\/span>.\t\t    <\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\n\n\n<h2 class=\"wp-block-heading\"><strong>Bibliography<\/strong><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Lone YA, Hushain D, Chana RS, Khan RA, Sachdeva S, Mushtaq E. Primary acquired gastric outlet obstruction in children: A retrospective single center study. J Pediatr Surg. 2019 Nov;54(11):2285-2290.&nbsp;<\/li>\n\n\n\n<li>Sharma KK, Ranka P, Goyal P, et al. Gastric outlet obstruction in children: an overview with report of \u201cJodhpur disease\u201d and Sharma&#8217;s classification. J Pediatr Surg 2008;43(10):1891\u20137.<\/li>\n\n\n\n<li>Ferguson C, Morabito A, Bianchi A (2004) Duodenal atresia and gastric antral web. A significant lesson to learn. Eur J Pediatr Surg 14:120\u2013122<\/li>\n\n\n\n<li>Nam S, Koo SH, Chung ML, Jung YJ, Lim YJ. Congenital antral web in premature baby. Pediatr Gastroenterol Hepatol Nutr 2013;16:49-52.<\/li>\n\n\n\n<li>Lui KW, Wong HF, Wan YL, Hung CF, Ng KK, Tseng JH. Antral web: a rare cause of vomiting in children. Pediatric Surg Int 2000;16:424-5.<\/li>\n\n\n\n<li>Bell MJ, Ternberg JL, McAlister W, Keating JP, Tedesco FJ. Antral diaphragm\u2013a cause of gastric outlet obstruction in infants and children. <em>J Pediatr <\/em>1977; 90: 196-202<\/li>\n\n\n\n<li>Bjorgvinsson E, Rudzki C, Lewicki AM. Antral web. <em>Am J Gastroenterol <\/em>1984; 79: 663-665<\/li>\n\n\n\n<li>Van Winckel MA, Afschrift MB, Vande Walle JG. Ultrasound diagnosis of a prepyloric diaphragm. <em>J Clin Ultrasound <\/em>1994; 22: 141- 143<\/li>\n\n\n\n<li>Mandell GA. Association of antral diaphragms and hypertrophic pyloric stenosis. <em>AJR Am J Roentgenol <\/em>1978; 131: 203-206<\/li>\n\n\n\n<li>Berr F, Rienmueller R, Sauerbruch T. Successful endoscopic transection of a partially obstructing antral diaphragm. Gastroenterology 1985;89:1147-51.<\/li>\n\n\n\n<li>Nam SH, Koo SH, Chung ML, Jung YJ, Lim YJ. Congenital antral web in premature baby. Pediatr Gastroenterol Hepatol Nutr. 2013 Mar;16(1):49-52.<\/li>\n\n\n\n<li>Amin R, Martinez AM, Arca MJ. Diagnosis and treatment of gastric antral webs in pediatric patients. Surg Endosc. 2019 Mar;33(3):745-749.<\/li>\n\n\n\n<li>Srivastava P, Gangopadhyay A, Upadhyaya V, Sharma S, Jaiman R, Kumar V. Unusual acquired gastric outlet obstruction during infancy: a case report. Cases J. 2008 Oct 15;1(1):237.<\/li>\n\n\n\n<li>&nbsp;Jung SE, Yu CS, Lee SC, Park KW, Kim WK. The surgical treatment for congenital gastric outlet obstruction. J Korean Surg Soc 1993;44:382-5.<\/li>\n\n\n\n<li>&nbsp;Jung J, Moon KR. A case of an antral web with a gastric ulcer due to ibuprofen. Korean J Pediatr Gastroenterol Nutr 2010;13:66-9.<\/li>\n\n\n\n<li>Chew AL, Friedwald JP, Donovan C. Diagnosis of congenital antral web by ultrasound. <em>Pediatr Radiol <\/em>1992; 22: 342-343<\/li>\n\n\n\n<li>Lu JP, Huang Y, Wu J, Chen SY. Uncommon congenital antral web misdiagnosed twice as a pyloric ulcer: successful treatment with endoscopic balloon dilatation. <em>Turk J Pediatr <\/em>2014; 56: 100-102<\/li>\n\n\n\n<li>Peck J, Khalaf R, Marth R, Phen C, Sosa R, Cordero FB, Wilsey M. Endoscopic Balloon Dilation for Treatment of Congenital Antral Web. Pediatr Gastroenterol Hepatol Nutr. 2018 Oct;21(4):351-354.<\/li>\n\n\n\n<li>Morales SJ, Nigam N, Chalhoub WM, Abdelaziz DI, Lewis JH, Benjamin SB (2017) Gastric antral webs in adults: a case series characterizing their clinical presentation and management in the modern endoscopic era. World J Gastrointest Endosc 16:19\u201325<\/li>\n<\/ol>\n\n\n<div class=\"is-divider divider clearfix\" ><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Address for correspondence::<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Consultant in pediatric gastroenterology, hepatology and nutrition<br>UMHATEM \u201cN. I. Pirogov\u201d<br>Department of pediatric abdominal surgery<br>21, \u201cGen. E. I. Totleben\u201d, Blvd.<br>1606, Sofia, Bulgaria<br>e-mail: <a href=\"mailto:kofinova@abv.bg\">kofinova@abv.bg<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>D. Kofinova, E. Lazarova, N. Tolekova, P. Mutafchieva, Ya. Pakhnev, E. Rangelov, Ts. Georgiev<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_pediatria_doi":"","footnotes":""},"categories":[1301,1339],"tags":[1649,1650,1651,1652,1653,1654,1655,1656],"class_list":["post-1555","post","type-post","status-publish","format-standard","hentry","category-articles","category-issue-3-2024","tag-denicza-kofinova-en","tag-edmond-rangelov-en","tag-elena-lazarova-en","tag-klinichen-sluchaj-na-dete-s-vrodena-antralna-mrezha-i-klinichna-izyava-na-gastro-ezofagealna-refluksna-bolest-en","tag-nadezhda-tolekova-en","tag-petya-mutafchieva-en","tag-czvetko-georgiev-en","tag-yanko-pahnev-en"],"_links":{"self":[{"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/posts\/1555","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/comments?post=1555"}],"version-history":[{"count":1,"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/posts\/1555\/revisions"}],"predecessor-version":[{"id":1557,"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/posts\/1555\/revisions\/1557"}],"wp:attachment":[{"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/media?parent=1555"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/categories?post=1555"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/tags?post=1555"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}