Dysphagia and Refractory Gastroesophageal Reflux Due to Antral Web: A Case Report
Gastroesophageal Reflux Due to Antral Web
Abstract views: 13
/ 
PDF downloads: 2
DOI:
https://doi.org/10.5281/zenodo.19170204Keywords:
Gastroesophageal Reflux, Endoscopy, Gastrointestinal, Hernia, HiatalAbstract
Gastric antral web is a rare congenital or acquired condition that may remain undiagnosed until adulthood and typically presents with nonspecific upper gastrointestinal symptoms. In adults, it may mimic functional dyspepsia, gastroesophageal reflux disease, or cardiac conditions, leading to diagnostic delay. Impaired antral peristalsis and delayed gastric emptying increase intragastric pressure and contribute to dysphagia and refractory reflux symptoms. Endoscopic evaluation plays a key role in diagnosis, while management ranges from medical therapy to endoscopic interventions such as balloon dilation, needle-knife incision, and surgery in selected cases. In this case, the patient was treated with proton pump inhibitors and showed clinical improvement. This case highlights the need to consider antral web in the differential diagnosis of patients with dysphagia and refractory gastroesophageal reflux symptoms.
References
Kim JS, Lee SK, Jung YS, et al. Congenital antral web: a rare cause of gastric outlet obstruction in children. Clin Ter. 2013;164(5):e381-e384.
Morales SJ, Nigam N, Chalhoub WM, Abdelaziz DI, Lewis JH, Benjamin SB. Gastric antral webs in adults: a case series characterizing their clinical presentation and management in the modern endoscopic era. World J Gastrointest Endosc. 2017;9(1):19-25.
Akbaş E, Altun R. A non-obstructive gastric antral web case detected after upper gastrointestinal system bleeding. Turk J Gastroenterol. 2019;30(1):116-117.
ASGE Standards of Practice Committee; Jamil LH, Chathadi KV, et al. The role of endoscopy in the management of benign and malignant gastroduodenal obstruction. Gastrointest Endosc. 2021;93(2):309-322.e4.
Park CH, Park JC, Lee H, et al. Endoscopic management of gastric antral web in adults. Gastrointest Endosc. 2010;72(3):617-620.
Lee TH, Kim JH, Kim JH, et al. Balloon dilation therapy for gastric outlet obstruction due to antral web. Dig Dis Sci. 2009;54(6):1327-1330.
Jain D, Mahmood E, Desai A, et al. Adult gastric antral web: clinical and endoscopic features. J Clin Gastroenterol. 2007;41(5):521-525.
Downloads
Published
How to Cite
License
Copyright (c) 2026 Derya Bakır, Elif Haskan, Fatih Karaahmet, Rabia Kipel, Muhammet Fatih Karakaya
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
All articles published in this journal are licensed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0).
The journal is licensed under a 