Ren Bing-Bing, Jiang Kui, Wang Tao, Sun Da-Qing
Department of Pediatric Surgery, General Hospital, Tianjin Medical University, Tianjin, China.
Department of Gastroenterology and Hepatology, General Hospital, Tianjin Medical University, Tianjin, China.
J Minim Access Surg. 2021 Jul-Sep;17(3):392-394. 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.
胃窦蹼（GAW）是一种罕见的胃窦异常，可导致胃出口梗阻。目前，由于技术要求高和再狭窄，GAW的内镜治疗被认为具有挑战性。在此，我们报告一例罕见的儿科GAW患者，通过内镜横断和部分蹼切除术治愈。一名8岁男孩因餐后饱胀9个月和间歇性非胆汁性胃内容物呕吐入院。进行上消化道造影和胃镜检查后，确诊为GAW。然后，以放射状进行了三次电切。此外，切除了位于大弯侧约三分之一的蹼。随访6个月时，患者餐后饱胀和非胆汁性呕吐完全缓解。因此，对于该病例，GAW的内镜治疗被认为是安全有效的。此外，蹼的部分切除有助于避免再狭窄。
