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June 1959, Vol 97, No. 6 >
Article | June 1959

Congenital Prepyloric Gastric Atresia:  A Report of Two Cases FREE

ROLAND P. BROWN, M.D.; J. H. HERTZLER, M.D.
[+] Author Affiliations

Received for publication July 2, 1958.


AMA Am J Dis Child. 1959;97(6):857-862. doi:10.1001/archpedi.1959.02070010859014.
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Congenital atresias of the pylorus or stomach are rare compared with complete obstructions elsewhere in the intestinal tract. A thorough review of the literature revealed seven previously reported case histories of patients in whom this diagnosis was made clinically or at autopsy. We have successfully treated two premature infants with prepyloric gastric mucosal atresia at Children's Hospital of Michigan. We would like to add their histories, along with a summary of our review, to the literature.

Types of Obstruction and Review of the Literature  Pyloric and gastric obstruction of the newborn can be divided into two general groups: complete and incomplete. The latter condition is common owing to the incidence of pyloric stenosis, which does not usually cause symptoms until the patient is 2 or more weeks of age. Another type of incomplete occlusion of the gastric canal is the result of obstruction by an intrinsic mass of the gastric

REFERENCES

1 +
Lyon, W.:  A Case of Congenital Cyst of the Stomach , Tr. Clin. Soc. Michigan 7:13, 1915;.
2 +
Bikoff, H. S.:  Embryonal Cyst of the Wall of the Stomach , Am. J. Dis. Child. 56:594, 1938;.
3 +
Bennett, R. J., Jr.:  Atresia of the Pylorus , Am. J. Digest. Dis. 4:44, 1937;.
4 +
Touroff, A. S. W., and Sussman, R. M.:  Congenital Prepyloric Membranous Obstruction in a Premature Infant , Surgery 8:739, 1940;.
5 +
Benson, C. D., and Coury, J. J.:  Congenital Intrinsic Obstruction of the Stomach and Duodenum in the Newborn , A. M. A. Arch. Surg. 62: 856, 1951;.
6 +
Metz, A. R.; Householder, R., and DePree, J. F.:  Obstruction of the Stomach Due to Congenital Double Septum with Cyst Formation , Tr. West. S. A. (1940) 50:242, 1941;.
7 +
Berman, J. K., and Ballenger, F.:  Pre-Pyloric Membranous Obstruction . Quart. Bull. Indiana Univ. M. Center 4:14, 1942;.
8 +
Rota, A. N.:  Pyloric Obstruction Due to Mucosal Diaphragm , A. M. A. Arch. Path. 55:223, 1953;.
9 +
Bariéty, M.; Poulet, J., and Courtois-Suffit, M.:  Diaphragme muqueux prépylorique et cancer bronchique primitif , Presse méd. 65:785, 1957;.
10 +
Gross, K. E., and Durham, M. W.:  Pyloric Antral Mucosal Diaphragm , Radiology 61:368, 1953;.
11 +
Passalacqua, L. A., and Romero, C. A.:  Partial Obstruction of the Pylorus Due to Mucosal Diaphragm of Congenital Origin , Bol. Asoc. méd. Puerto Rico 47:211, 1955;.
12 +
Swartz, W. T., and Shepard, R. D.:  Congenital Mucosal Diaphragm of the Pyloric Antrum , J. Kentucky M. As. 54:149, 1946;.
13 +
Sames, C. P.:  Case of Partial Atresia of the Pyloric Antrum Due to Mucosal Diaphragm of Doubtful Origin , Brit. J. Surg. 37:244, 1949;.
14 +
Reed, J., Detroit: Personal communication to the authors.
15 +
Holladay, L. J.:  Case Report of Congenital Aplasia of the Pylorus . J. Ind. M. A. 39:350, 1946;.
16 +
Burnett, H. A., and Halpert, B.:  Perforation of the Stomach of a Newborn Infant with Pyloric Atresia , Arch. Path. 44:318, 1947;.
17 +
Fell, E. H., in discussion on Benson and Coury.5

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References

1 +
Lyon, W.:  A Case of Congenital Cyst of the Stomach , Tr. Clin. Soc. Michigan 7:13, 1915;.
2 +
Bikoff, H. S.:  Embryonal Cyst of the Wall of the Stomach , Am. J. Dis. Child. 56:594, 1938;.
3 +
Bennett, R. J., Jr.:  Atresia of the Pylorus , Am. J. Digest. Dis. 4:44, 1937;.
4 +
Touroff, A. S. W., and Sussman, R. M.:  Congenital Prepyloric Membranous Obstruction in a Premature Infant , Surgery 8:739, 1940;.
5 +
Benson, C. D., and Coury, J. J.:  Congenital Intrinsic Obstruction of the Stomach and Duodenum in the Newborn , A. M. A. Arch. Surg. 62: 856, 1951;.
6 +
Metz, A. R.; Householder, R., and DePree, J. F.:  Obstruction of the Stomach Due to Congenital Double Septum with Cyst Formation , Tr. West. S. A. (1940) 50:242, 1941;.
7 +
Berman, J. K., and Ballenger, F.:  Pre-Pyloric Membranous Obstruction . Quart. Bull. Indiana Univ. M. Center 4:14, 1942;.
8 +
Rota, A. N.:  Pyloric Obstruction Due to Mucosal Diaphragm , A. M. A. Arch. Path. 55:223, 1953;.
9 +
Bariéty, M.; Poulet, J., and Courtois-Suffit, M.:  Diaphragme muqueux prépylorique et cancer bronchique primitif , Presse méd. 65:785, 1957;.
10 +
Gross, K. E., and Durham, M. W.:  Pyloric Antral Mucosal Diaphragm , Radiology 61:368, 1953;.
11 +
Passalacqua, L. A., and Romero, C. A.:  Partial Obstruction of the Pylorus Due to Mucosal Diaphragm of Congenital Origin , Bol. Asoc. méd. Puerto Rico 47:211, 1955;.
12 +
Swartz, W. T., and Shepard, R. D.:  Congenital Mucosal Diaphragm of the Pyloric Antrum , J. Kentucky M. As. 54:149, 1946;.
13 +
Sames, C. P.:  Case of Partial Atresia of the Pyloric Antrum Due to Mucosal Diaphragm of Doubtful Origin , Brit. J. Surg. 37:244, 1949;.
14 +
Reed, J., Detroit: Personal communication to the authors.
15 +
Holladay, L. J.:  Case Report of Congenital Aplasia of the Pylorus . J. Ind. M. A. 39:350, 1946;.
16 +
Burnett, H. A., and Halpert, B.:  Perforation of the Stomach of a Newborn Infant with Pyloric Atresia , Arch. Path. 44:318, 1947;.
17 +
Fell, E. H., in discussion on Benson and Coury.5

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