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Endoscopic Balloon Dilation for Treatment of Congenital Antral Web

Jacquelin Peck1, Racha Khalaf2, Ryan Marth3

  • 1Pediatric Anesthesiology, Hepatology and Nutrition, Children's Hospital of Colorado, Denver, CO, United States.

Pediatric Gastroenterology, Hepatology & Nutrition
|October 23, 2018
PubMed

Insights

Congenital antral webs cause gastric outlet obstruction in infants, leading to feeding issues. Endoscopic balloon dilation effectively treated a case, resolving symptoms and promoting healthy growth.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Congenital antral webs are a rare cause of gastric outlet obstruction in infants.
  • This condition often leads to misdiagnosis due to its rarity compared to more common conditions like pyloric stenosis.

Observation:

  • An eight-month-old female infant presented with persistent non-bilious emesis, feeding difficulties, and failure to thrive.
  • Diagnostic evaluation revealed a congenital antral web as the cause of her symptoms.

Findings:

  • The antral web was successfully treated using endoscopic balloon dilation.
  • The infant's symptoms resolved completely following the procedure.

Implications:

  • Endoscopic balloon dilation offers a minimally invasive and effective treatment for congenital antral webs.
  • Prompt diagnosis and treatment can lead to excellent long-term outcomes and healthy growth in affected children.

Keywords:
EndoscopyFailure to thriveGastric outlet obstructionPediatricsVomiting

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