Tunell W P, Smith E I
J Pediatr Surg. 1980 Apr;15(2):152-5. doi: 10.1016/s0022-3468(80)80006-6.
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.
11例婴儿期诊断并治疗的部分梗阻性胃窦蹼患者，随访1至6年。7例行手术矫正，6例行蹼切除术和幽门成形术。4例采用解痉药和小凝乳配方进行非手术治疗。7例接受手术的婴儿中有5例术后持续呕吐。两组所有患者在治疗后6个月均无症状。4例非手术治疗患者中有3例接受了随访上消化道造影。均无胃窦蹼持续存在。我们得出结论，婴儿期部分梗阻性胃窦蹼是一种自限性疾病，仅在严重临床疾病时才需要手术矫正。
