Congenital Partial Gastric Antral Obstruction, an Elusive Cause of Abdominal Pain and Vomiting

Overview

Journal Ann Surg

Specialty General Surgery

Date 1974 Sep 1

PMID 4851155

Citations 1

Authors

M M Woolley

J L GWINN

A Mares

Affiliations

Soon will be listed here.

Abstract

The patient with partial gastric antral obstruction due to a diaphragm may present with obstructive symptoms at any age in life. Including the four patients presented, there are now 50 reported cases. Since the diagnosis has been unduly delayed in many adults, it is particularly important that those physicians and surgeons caring for infants and children be aware of this entity. If properly treated in infancy and childhood, many years of suffering and debility can be obviated.

Citing Articles

Usual and unusual causes of pediatric gastric outlet obstruction.

Otjen J, Iyer R, Phillips G, Parisi M Pediatr Radiol. 2012; 42(6):728-37.

PMID: 22457062 DOI: 10.1007/s00247-012-2375-5.

References

MUNRO A . PREPYLORIC MUCOSAL DIAPHRAGM. Br J Surg. 1963; 50:981-2. DOI: 10.1002/bjs.18005022712. View

PARRISH R, KANAVAGE C, Wells J, MORETZ W . Congenital antral membrane. Surg Gynecol Obstet. 1968; 127(5):999-1004. View

GROSS K, DURHAM M . Pyloric antral mucosal diaphragm; report of a case. Radiology. 1953; 61(3):368-72. DOI: 10.1148/61.3.368. View

Schwartz I, Hirsch E, MULE J, BLUESTONE L . Antral mucosal diaphragm. Clinical and roentgen characteristics, with first reported case of vibrio fetus in human bile. Am J Gastroenterol. 1966; 45(5):366-73. View

PARRISH Jr R, Sherman H, MORETZ W . Congenital antral membrane. Surgery. 1966; 59(5):681-4. View

PASSALACQUA L, Romero C . Partial obstruction of the pylorus due to a mucosal diaphragm of congenital origin. Bol Asoc Med P R. 1955; 47(5):211-5. View

SOKOL E, Shorofsky M, WERTHER J . Mucosal diaphragm of the gastric antrum. Gastrointest Endosc. 1965; 12(2):20-1 passim. View

Cremin B . Congenital pyloric antral membranes in infancy. Radiology. 1969; 92(3):509-12. DOI: 10.1148/92.3.509. View

Kenny P . The adult pyloric diaphragm. Aust N Z J Surg. 1963; 32:270-3. DOI: 10.1111/j.1445-2197.1963.tb03044.x. View

10.

DESPIRITO A, GUTHORN P . Recovery from meconium peritonitis associated with a diaphragm-like obstruction of the prepyloric mucosa. J Pediatr. 1957; 50(5):599-602. DOI: 10.1016/s0022-3476(57)80225-x. View

11.

HAIT G, Esselstyn Jr C, RANKIN G . Prepyloric mucosal diaphragm (antral web): report of a case and review of the literature. Arch Surg. 1972; 105(3):486-90. DOI: 10.1001/archsurg.1972.04180090089021. View

12.

Stahl W . UNUSUAL PYLORIC OBSTRUCTION IN AN ADULT. CONGENITAL PARTIAL DIAPHRAGM OF PYLORUS. JAMA. 1963; 186:1173-5. DOI: 10.1001/jama.1963.63710130017022c. View

13.

Sames C . A case of partial atresia of the pyloric antrum due to a mucosal diaphragm of doubtful origin. Br J Surg. 1949; 37(146):244-6, illust. DOI: 10.1002/bjs.18003714620. View

14.

YOUNG H . Addisonian pigmentation due to extreme pyloric stenosis by a mucosal diaphragm. Br J Surg. 1961; 49:104-7. DOI: 10.1002/bjs.18004921324. View

15.

GERBER B . PREPYLORIC DIAPHRAGM, AN UNUSUAL ABNORMALITY. A CASE REPORT. Arch Surg. 1965; 90:472-80. DOI: 10.1001/archsurg.1965.01320100016004. View

16.

BROWNING R . PREPYLORIC ANTRAL MUCOSAL DIAPHRAGM OR "WEBB". Am Surg. 1964; 30:73-6. View

17.

ROTA A . Pyloric obstruction due to mucosal diaphragm. AMA Arch Pathol. 1953; 55(3):223-6. View

18.

JOHNSON G . Gastric mucosal diaphragm in a child. Pediatrics. 1971; 47(5):916-9. View

19.

ALBOT G, Magnier F . Antro-pyloric mucous diaphragm. Arch Mal Appar Dig Mal Nutr. 1955; 44(11):1162-6. View

20.

PULSIFER L, JEDD F, VANZANDT T . PYLORIC OBSTRUCTION BY A MUCOSAL DIAPHRAGM. Am J Gastroenterol. 1965; 43:30-4. View