Antral Web in Infancy

Eleven patients have been followed from 1 to 6 yr after diagnosis and treatment during infancy of partially obstructing antral web. Seven had surgical correction, six with web excision and pyloroplasty. Four were treated nonoperatively with antispasmodics and small curd formula. Five of the seven operated infants had continued vomiting postoperatively. All patients in both groups were symptom-free 6 mo posttreatment. Three of four nonoperated patients had follow-up upper gastrointestinal radiography. None had persistence of the antral web. We conclude that partially obstructing antral web in infancy is a self limited disease and that surgical correction is indicated only for severe clinical illness.