Gastrointestinal Web Cases Diagnosed by Endoscopy

Abstract

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 andalso 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.