Gastrointestinal Radiology

, Volume 1, Issue 1, pp 37–40 | Cite as

Gastric antral diaphragm

  • Kyung J. Cho
Article

Abstract

Roentgenographic abnormalities in 3 patients with antral diaphragm are presented. Barium studies revealed the diaphragm as a persistent, circumferential defect in the distal antrum, often associated with peptic ulcers or gastric outlet obstruction. At endoscopy the central aperture does not change during peristalsis in contrast to the pylorus, which does. Since the lesion can be excised, its preoperative demonstration by barium studies and endoscopy is emphasized.

Key words

Stomach Diaphragm Diagnosis Endoscopy 

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References

  1. 1.
    Sames CP: A case of partial atresia of the pyloric antrum due to a mucosal diaphragm of doubtful origin.Br J Surg 37: 244–246, 1949Google Scholar
  2. 2.
    Albot G, Magnier F: Mucosal diaphragm of pyloric antrum.Arch Mal Appar Dig 44: 1162–1166, 1955Google Scholar
  3. 3.
    Banks PA, Waye JD, Waitman AM, et al: Mucosal diaphragm of gastric antrum.Gastroenterology 52: 1003–1008, 1967Google Scholar
  4. 4.
    Browning RW: Prepyloric antral mucosal diaphragm or “Web.”Am Surg 30: 73–76, 1964Google Scholar
  5. 5.
    Conway N: Pyloric antral mucosal diaphragm.Br Med J 1: 970–971, 1965Google Scholar
  6. 6.
    Cremin BJ: Congenital pyloric antral membranes in infancy.Radiology 92: 509–512, 1969Google Scholar
  7. 7.
    Felson B, Berkmen YM, Hoyumpa AM: Gastric mucosal diaphragm.Radiology 92: 513–517, 1969Google Scholar
  8. 8.
    Gerber BC: Prepyloric diaphragm, an unusual abnormality. A case report.Arch Surg 90: 472–480, 1965Google Scholar
  9. 9.
    Ghahremani GG: Nonobstructive mucosal diaphragms or rings of the gastric antrum in adults.Am J Roentgenol 121: 236–247, 1974Google Scholar
  10. 10.
    Gross KE, Durham MW: Pyloric antral mucosal diaphragm: Report of a case.Radiology 61: 368–472, 1953Google Scholar
  11. 11.
    Hait G, Esselstyn CB, Rankin GB: Prepyloric mucosal diaphragm (antral web). Report of case and review of literature.Arch Surg 105: 486–490, 1972Google Scholar
  12. 12.
    Katz LA: Asymptomatic mucosal diaphragm of gastric antrum. Report of case.Gastrointest Endose 15: 106–107, 1968Google Scholar
  13. 13.
    Kenny PJ: The adult pyloric diaphragm.Aust N Z J Surg 32: 270–273, 1962Google Scholar
  14. 14.
    Melamed A, Haukohl RS, Callan RE: Pyloric antral mucosal diaphragm with transpyloric mucosal prolapse.Radiology 74: 452–457, 1960Google Scholar
  15. 15.
    Munro AI: Prepyloric mucosal diaphragm.Br J Surg 50: 981–982,1963Google Scholar
  16. 16.
    Pulsifer L, Jedd FL, VanZandt TF: Pyloric obstruction by a mucosal diaphragm.Am J Gastroenterol 43: 30–34, 1965Google Scholar
  17. 17.
    Rhind JA: Mucosal stenosis of the pylorus.Brit J Surg 46: 534–540, 1959Google Scholar
  18. 18.
    Rota AN: Pyloric obstruction due to mucosal diaphragm.Arch Pathol 55: 223–226, 1953Google Scholar
  19. 19.
    Rowling JT: The prepyloric septum: A rare anomaly.Br J Surg 47: 162–166, 1959Google Scholar
  20. 20.
    Schwartz IR, Hirsch E, Mule JE et al.: Antral mucosal diaphragm: C Clinical and roentgen characteristics, with first reported case of vibrio fetus in human bile.Am J Gastroenterol 45: 366–373, 1966Google Scholar
  21. 21.
    Sokol EM, Shorofsky MA, Werther JL: Mucosal diaphragm of gastric antrum.Bull Gastrointest Endose 12: 20–21, 1965Google Scholar
  22. 22.
    Spencer SL: Adult pyloric obstruction due to a mucosal diaphragm.Med J Aust 48: 816–817, 1961Google Scholar
  23. 23.
    Stahl WM Jr: Unusual pyloric obstruction in an adult: Congenital partial diaphragm of pylorus.JAMA 186: 1173–1175, 1963Google Scholar
  24. 24.
    Swartz WT, Shepard RD: Congenital mucosal diaphragm of pyloric antrum.J Kentucky Med Assoc 54: 149–151, 1956Google Scholar
  25. 25.
    Young HB: Addisonian pigmentation due to extreme pyloric stenosis by a mucosal diaphragm.Br J Surg 49: 104–107,1961Google Scholar

Copyright information

© Springer-Verlag 1976

Authors and Affiliations

  • Kyung J. Cho
    • 1
  1. 1.Department of RadiologyUniversity of Michigan at Wayne County General HospitalEloiseUSA

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