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July 1973, Vol 126, No. 1 >
Article | July 1973

Incomplete Antral Membrane in an Infant FREE

Joseph L. Skibba, MD, PhD; Richard L. Wesenberg, MD; A. D. Anderson, MD, FACS
[+] Author Affiliations

Received for publication Oct 4, 1972; accepted Feb 23, 1973.

Reprint requests to General Surgery, Madison General Hospital, 202 S Park St, Madison, WI 53715 (Dr. Anderson).


Am J Dis Child. 1973;126(1):82-84. doi:10.1001/archpedi.1973.02110190070015.
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Incomplete gastric outlet obstruction by a pyloric or prepyloric membrane is rare. A 1-year-old girl had a six-month history of vomiting and failure to thrive. Preoperative roentgenographic findings suggested there was incomplete antral membrane. Since no extrinsic deformity of the pylorus, stomach, or duodenum can be seen at surgery, establishment of the diagnosis preoperatively is very important. Recommended treatment is a Heineke-Mikulicz pyloroplasty with or without incision or excision of the mucosal membrane.

REFERENCES

1 +
Benson CD:  The stomach and duodenum: Prepyloric and pyloric obstruction , in Mustard WT, et al (eds): Pediatric Surgery , ed 2. Chicago, Year Book Medical Publishers Inc, 1969;, vol 2, pp 795-797.
2 +
Bronsther B, Nadeau MR, Abrams MW:  Congenital pyloric atresia: A report of three cases and a review of the literature . Surgery 69:130-136, 1971;.
3 +
Cremin BJ:  Congenital pyloric antral membranes in infancy . Radiology 92:509-512, 1969;.
4 +
Gerber BC:  Prepyloric diaphragm, an unusual abnormality . Arch Surg 90:472-480, 1965;.
5 +
Farman J, Cywes S, Werbeloff L:  Pyloric mucosal diaphragms . Clin Radiol 19:95-99, 1968;.
6 +
Parrish RA, et al:  Congenital antral membrane . Surg Gynecol Obstet 127:999-1004, 1968;.
7 +
Willcoxon RL, Farha GJ:  Prepyloric antral stenosis: Report of a case with muscular hypertrophy and mucosal web . J Kans Med Soc 71:353-354, 1970;.
8 +
Brandon FM, Weidner WA:  Antral mucosal membrane: A congenital obstructing lesion of the stomach . Am J Roentgenol Radium Ther Nucl Med 114:386-389, 1972;.
9 +
Liechti RE, Mikkelsen WP, Snyder WH:  Prepyloric stenosis caused by congenital squamous epithelial diaphragm—resultant infantilism . Surgery 53:670-673, 1963;.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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References

1 +
Benson CD:  The stomach and duodenum: Prepyloric and pyloric obstruction , in Mustard WT, et al (eds): Pediatric Surgery , ed 2. Chicago, Year Book Medical Publishers Inc, 1969;, vol 2, pp 795-797.
2 +
Bronsther B, Nadeau MR, Abrams MW:  Congenital pyloric atresia: A report of three cases and a review of the literature . Surgery 69:130-136, 1971;.
3 +
Cremin BJ:  Congenital pyloric antral membranes in infancy . Radiology 92:509-512, 1969;.
4 +
Gerber BC:  Prepyloric diaphragm, an unusual abnormality . Arch Surg 90:472-480, 1965;.
5 +
Farman J, Cywes S, Werbeloff L:  Pyloric mucosal diaphragms . Clin Radiol 19:95-99, 1968;.
6 +
Parrish RA, et al:  Congenital antral membrane . Surg Gynecol Obstet 127:999-1004, 1968;.
7 +
Willcoxon RL, Farha GJ:  Prepyloric antral stenosis: Report of a case with muscular hypertrophy and mucosal web . J Kans Med Soc 71:353-354, 1970;.
8 +
Brandon FM, Weidner WA:  Antral mucosal membrane: A congenital obstructing lesion of the stomach . Am J Roentgenol Radium Ther Nucl Med 114:386-389, 1972;.
9 +
Liechti RE, Mikkelsen WP, Snyder WH:  Prepyloric stenosis caused by congenital squamous epithelial diaphragm—resultant infantilism . Surgery 53:670-673, 1963;.

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