Journal List > Korean J Pediatr Gastroenterol Nutr > v.13(1) > 1043480

Korean J Pediatr Gastroenterol Nutr. 2010 Mar;13(1):66-69. Korean.
Published online March 31, 2010.
Copyright © 2010 The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition
A Case of an Antral Web with a Gastric Ulcer due to Ibuprofen
Ji Jung, M.D. and Kyung Rye Moon, M.D.
Department of Pediatrics, School of Medicine, Chosun University, Gwangju, Korea.

Responsible author (Email: )
Received February 16, 2010; Accepted March 07, 2010.


An antral web is an extremely rare gastric anomaly that disturbs the gastric outlet. The onset of symptoms will depend on the diameter of the aperture. Obstructive symptoms may not occur when the aperture is >l centimeter in diameter. If the aperture is larger than 1 cm without significant symptoms, conservative treatment is sufficient. A case of an antral web with an ulcer and vomiting in a 7-year-old boy who received ibuprofen for 2 days is presented. The patient became symptom-free after medical treatment.

Keywords: Antral web; Gastric ulcer; Ibuprofen


Fig. 1
UGI series shows a stricture at the antral portion and an ulcer crater with regular radiating mucosal folds (arrow).
Click for larger image

Fig. 2
Gastroscopic finding. (A) Initially, an ulcer, erosion, and mucosal swelling around the antral web were noticed. (B) The normal pylorus can be seen through the aperture of the antral web.
Click for larger image

Fig. 3
Seven days later, (A) the size of the ulcer was decreased and the radiating mucosal folds on the antral web were prominent. (B) Two months later, the ulcer was not visible and the antral web with an aperture diameter of 1.4 cm is shown.
Click for larger image

1. Noel RJ, Glock MS, Pranikoff T, Hill ID. Nonobstructive antral web: An unusual cause of excessive crying in an infant. J Pediatr Gastroenterol Nutr 2000;31:439–441.
2. Kim YJ. A case of antral web in a child. Korean J Gastrointest Endosc 1996;16:761–764.
3. Choi KJ. Prepyloric gastric antral webs in Children. J Korean Surg Soc 1988;35:610–614.
4. Haddad V, Macon WL 4th, Islami MH. Mucosal diaphragms of the gastric antrum in adults. Surg Gynecol Obstet 1981;152:227–233.
5. Feliciano DV, van Heerden JA. Pyloric antral mucosal webs. Mayo Clin Proc 1977;52:650–653.
6. Blazek FD, Boeckman CR. Prepyloric antral diaphragm: delays in treatment. J Pediatr Surg 1987;22:948–949.
7. Bell MJ, Ternberg JL, McAlister W, Keating JP, Tedesco FJ. Antral diaphragm a cause of gastric outlet obstruction in infants and children. J Pediatr 1977;90:196–202.
8. Lu CC, Schulze-Delrieu K. Pyloric deformation from peptic disease. Radiographic evidence for incompetence rather than obstruction. Dig Dis Sci 1990;35:1459–1467.
9. Johnson GM. Gastric mucosal diaphragm in a child. Pediatrics 1971;47:916–919.
10. Gerber BC. Prepyloric diaphragm, an unusual abnormality. a case report. Arch Surg 1965;90:472–480.
11. Jinkins JR, Ball TI, Clements JL Jr, Elmer RA, Weens HS. Antral mucosal diaphragms in infants and children. Pediatr Radiol 1980;9:69–72.
12. Hait G, Esselstyn CB Jr, Rankin GB. Prepyloric mucosal diaphragm (antral web): report of a case and review of the literature. Arch Surg 1972;105:486–490.
13. Gross KE, Durham MW. Pyloric antral mucosal diaphragm; report of a case. Radiology 1953;61:368–372.
14. Banks PA, Waye JD. The gastroscopic appearance of antral web. Gastrointest Endosc 1969;15:228–229.
15. Skibba JL, Wesenberg RL, Anderson AD. Incomplete antral membrane in an infant. Am J Dis Child 1973;126:82–84.
16. Travis RC. Gastric antral webs in adults. Australas Radiol 1990;34:266–267.
17. Berr F, Rienmueller R, Sauerbruch T. Successful endoscopic transection of a partially obstructing antral diaphragm. Gastroenterology 1985;89:1147–1151.