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Endoskopik İnceleme İle Tanı Alan Gastrointestinal Web Olguları

Year 2006, Volume: 23 Issue: 3, 95 - 100, 30.12.2009

Abstract

Gastrointestinal Web Cases Diagnosed by Endoscopy
Intestinal web is a thin membrane structure with central localization; including mucosa, submucosa and muscularis externa, but not serosa. It is give permission to partial passing. Vomiting after birth is diagnostic. Intestinal web can occur with bilios or nonbilios vomiting and generally radiologic examination is enough for diagnosis. We presented three cases mis diagnosed with clinical and radiological examination, the correct diagnosis was made by endoscopy. For this reason between 2000-2004 we examined the seven intestinal web cases which are operated in our hospital. We saw that two of them were antral webs and the other five were duodenal webs. In all cases repeating vomiting was the common symptom. The patient with antral web and the other two patients with duodenal webs were diagnosed at endoscopy. Clinical and radiologic examinations were not enough for diagnosis. The patients diagnosed at endoscopy were 4-month, 14-month old and 2.5 years old. The four patients diagnosed with clinical and/or radiological examination were between 4-days and 2.5 month old. Finally, clinic and radiologic examination can not be enough if the intestinal passage is not completely obstructed and the web is not so thick and also diagnosis can be late. For this reason, cases with repeating vomiting with normal radiologic examination must be examined with endoscopy, because it is reliable and it does not need anesthesia.


Intestinal "web" mukoza, submukoza ve kas tabakası içerebilen, serozası bulunmayan, kısmi geçişe izin veren ve merkezi yerleşimli olan ince zarımsı bir yapıdır. Doğumdan sonra başlayan kusmalar hastalık için tipiktir. Intestinal web, yerleşimine göre safralı yada safrasız kusmalar şeklinde kendini gösterir ve radyolojik incelemeler tanı için genellikle yeterli olmaktadır. Klinik ve radyolojik bulgularla tanı konulamayan ve endoskopi sırasında saptanan üç "web" olgusu sunduk. Bu amaçla 2000-2004 yılları arasında hastanemizde opere edilen intestinal web olguları incelendiğinde toplam 7 olgudan ikisinde antral web, beş hastada duodenal web olduğu görüldü. Tüm hastaların ortak başvuru yakınması tekrarlayan kusmalar idi. Bu olgular içinde biri antral web, diğer ikisi duodenal web olmak üzere üç olguda klinik ve radyolojik bulgular tanı için yeterli olmamış ve yapılan endoskopik inceleme ile web saptanmıştı. Endoskopik inceleme ile tanı alan bu üç hastanın yaşları 4 ay, 14 ay ve 2,5 yaş idi. Klinik ve/veya radyolojik olarak tanı almış diğer dört hastada ise tanı yaşı 4 gün-2,5 ay arasında idi. Sonuçta bağırsak geçişini kısmen tıkayan ve fazla dar olmayan web olgularında klinik ve radyolojik bulgular tanı için yeterli olmayabilir ve tanı gecikebilir. Bu nedenle radyolojik bulguları normal bildirilen tekrarlayan kusma ataklarına sahip olgularda hem genel anestezi gerektirmemesi hem de güvenilir olması nedeniyle endoskopik inceleme düşünülmelidir.

References

  • Cremin BJ. Neonatal pre-pyloric membrane. S Afr Med J 1967; 41: 1076–1079.
  • Jinkins JR, Ball TI, Clements JL, et al. Antral mucos- al diaphragms in infants and children. Ped Radiol l980; 9: 69–72.
  • Pederson WC, Sirinek KR, Schwesinger WH, Levine BA. Gastric outlet obstruction secondary to antral mucosal diaphragm. Dig Dis Sci 1984; 29: 86–90.
  • Chao-Ran Wang, Kun-Eng Lim, Wan-Chak Lo, Jin-Yao Lai. Prepyloric antral webs in neonate report of two cases. Chin J Radiol 2000; 25: 35–38.
  • Tiao MM, Ko SF, Hsieh CS, et al. Antral web associated with distal antral hypertrophy and prepyloric stenosis mimicking hypertrophic pyloric stenosis. World J Gastroenterol. 2005; 11: 609–611.
  • Bell MJ, Ternberg JL, Keating JP, et al. Prepyloric gastric antral web: a puzzling epidemic. J Pediatr Surg 1978; 13: 307–313.
  • Mandell GA. Association of antral diaphragm and hypertrophic pyloric stenosis. Am J Roentgenol 1978; 131: 203–206.
  • Ferguson C, Morabito A, Bianchi A. Duodenal atresia and gastric antral web. A significant lesson to learn. Eur J Pediatr Surg 2004; 14: 120–122.
  • Jawa H, Bezre B, Kamal AK. Prepyloric antral m e m b r a n e . Saudi Med J 2003; 24: 41–42.
  • Blazek FD, Boeckman CR. Prepyloric antral diaphragm: Delays in treatment. J Pediatr Surg 1987; 22: 948–949.
  • Borgnon J, Ouillon-Villet C, Huet F, Sapin E. Gastric outlet obstruction by an antral mucosal diaphragm: a case of a congenital anomaly revealed by an acquired disease. Eur J Pediatr Surg 2003; 13: 327–329.
  • Ghahremani GG. Nonobstructive mucosal diaphragm or rings of the gastric antrum in adults. Am J Roentgenol 1974; 121: 236–247.
Year 2006, Volume: 23 Issue: 3, 95 - 100, 30.12.2009

Abstract

References

  • Cremin BJ. Neonatal pre-pyloric membrane. S Afr Med J 1967; 41: 1076–1079.
  • Jinkins JR, Ball TI, Clements JL, et al. Antral mucos- al diaphragms in infants and children. Ped Radiol l980; 9: 69–72.
  • Pederson WC, Sirinek KR, Schwesinger WH, Levine BA. Gastric outlet obstruction secondary to antral mucosal diaphragm. Dig Dis Sci 1984; 29: 86–90.
  • Chao-Ran Wang, Kun-Eng Lim, Wan-Chak Lo, Jin-Yao Lai. Prepyloric antral webs in neonate report of two cases. Chin J Radiol 2000; 25: 35–38.
  • Tiao MM, Ko SF, Hsieh CS, et al. Antral web associated with distal antral hypertrophy and prepyloric stenosis mimicking hypertrophic pyloric stenosis. World J Gastroenterol. 2005; 11: 609–611.
  • Bell MJ, Ternberg JL, Keating JP, et al. Prepyloric gastric antral web: a puzzling epidemic. J Pediatr Surg 1978; 13: 307–313.
  • Mandell GA. Association of antral diaphragm and hypertrophic pyloric stenosis. Am J Roentgenol 1978; 131: 203–206.
  • Ferguson C, Morabito A, Bianchi A. Duodenal atresia and gastric antral web. A significant lesson to learn. Eur J Pediatr Surg 2004; 14: 120–122.
  • Jawa H, Bezre B, Kamal AK. Prepyloric antral m e m b r a n e . Saudi Med J 2003; 24: 41–42.
  • Blazek FD, Boeckman CR. Prepyloric antral diaphragm: Delays in treatment. J Pediatr Surg 1987; 22: 948–949.
  • Borgnon J, Ouillon-Villet C, Huet F, Sapin E. Gastric outlet obstruction by an antral mucosal diaphragm: a case of a congenital anomaly revealed by an acquired disease. Eur J Pediatr Surg 2003; 13: 327–329.
  • Ghahremani GG. Nonobstructive mucosal diaphragm or rings of the gastric antrum in adults. Am J Roentgenol 1974; 121: 236–247.
There are 12 citations in total.

Details

Primary Language English
Journal Section Basic Medical Sciences
Authors

B. Mutlu This is me

A.g. Kalaycı This is me

R. Rızalar This is me

E. Arıtürk This is me

Publication Date December 30, 2009
Submission Date October 23, 2009
Published in Issue Year 2006 Volume: 23 Issue: 3

Cite

APA Mutlu, B., Kalaycı, A., Rızalar, R., Arıtürk, E. (2009). Endoskopik İnceleme İle Tanı Alan Gastrointestinal Web Olguları. Journal of Experimental and Clinical Medicine, 23(3), 95-100. https://doi.org/10.5835/jecm.v23i3.41
AMA Mutlu B, Kalaycı A, Rızalar R, Arıtürk E. Endoskopik İnceleme İle Tanı Alan Gastrointestinal Web Olguları. J. Exp. Clin. Med. December 2009;23(3):95-100. doi:10.5835/jecm.v23i3.41
Chicago Mutlu, B., A.g. Kalaycı, R. Rızalar, and E. Arıtürk. “Endoskopik İnceleme İle Tanı Alan Gastrointestinal Web Olguları”. Journal of Experimental and Clinical Medicine 23, no. 3 (December 2009): 95-100. https://doi.org/10.5835/jecm.v23i3.41.
EndNote Mutlu B, Kalaycı A, Rızalar R, Arıtürk E (December 1, 2009) Endoskopik İnceleme İle Tanı Alan Gastrointestinal Web Olguları. Journal of Experimental and Clinical Medicine 23 3 95–100.
IEEE B. Mutlu, A. Kalaycı, R. Rızalar, and E. Arıtürk, “Endoskopik İnceleme İle Tanı Alan Gastrointestinal Web Olguları”, J. Exp. Clin. Med., vol. 23, no. 3, pp. 95–100, 2009, doi: 10.5835/jecm.v23i3.41.
ISNAD Mutlu, B. et al. “Endoskopik İnceleme İle Tanı Alan Gastrointestinal Web Olguları”. Journal of Experimental and Clinical Medicine 23/3 (December 2009), 95-100. https://doi.org/10.5835/jecm.v23i3.41.
JAMA Mutlu B, Kalaycı A, Rızalar R, Arıtürk E. Endoskopik İnceleme İle Tanı Alan Gastrointestinal Web Olguları. J. Exp. Clin. Med. 2009;23:95–100.
MLA Mutlu, B. et al. “Endoskopik İnceleme İle Tanı Alan Gastrointestinal Web Olguları”. Journal of Experimental and Clinical Medicine, vol. 23, no. 3, 2009, pp. 95-100, doi:10.5835/jecm.v23i3.41.
Vancouver Mutlu B, Kalaycı A, Rızalar R, Arıtürk E. Endoskopik İnceleme İle Tanı Alan Gastrointestinal Web Olguları. J. Exp. Clin. Med. 2009;23(3):95-100.