'Antral dysmotility' - An unrecognized cause of chronic vomiting during infancy

W. J. Byrne, H. Kangarloo, M. E. Ament, C. W. Lo, W. Berquist, R. Foglia, E. W. Fonkalsrud

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Ten infants who were less than nine months of age and had chronic nonbilious vomiting were evaluated for gastroesophageal reflux. Upper gastrointestinal series in all showed delayed gastric emptying, a funnel-shaped antrum, absent antral peristalsis, and gastroesophageal reflux. None had evidence of anatomic obstruction in the stomach or duodenum. Manometric studies of the esophagus revealed either normal (4 patients) or elevated (6 patients) lower esophageal sphincter pressures. One-hour esophageal pH probe tests were negative in seven of the ten infants. This obstruction to gastric emptying appears to represent a disorder of antral motility. Medical management, which consisted of small frequent feedings and postural therapy, was successful in six of the infants. The remaining four patients required pyloroplasty. All of the infants are now asymptomatic and gaining weight at either a normal or accelerated rate for their ages. Familiarity with this previously undescribed disorder should prevent the incorrect diagnosis of gastroesophageal reflux secondary to lower esophageal sphincter incompetence and the resulting inappropriate surgical reconstruction.

Original languageEnglish (US)
Pages (from-to)521-524
Number of pages4
JournalAnnals of Surgery
Volume193
Issue number4
StatePublished - 1981

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Vomiting
Gastroesophageal Reflux
Lower Esophageal Sphincter
Gastric Emptying
Peristalsis
Duodenum
Esophagus
Stomach
Pressure
Weights and Measures
Antral
Therapeutics

ASJC Scopus subject areas

  • Surgery

Cite this

Byrne, W. J., Kangarloo, H., Ament, M. E., Lo, C. W., Berquist, W., Foglia, R., & Fonkalsrud, E. W. (1981). 'Antral dysmotility' - An unrecognized cause of chronic vomiting during infancy. Annals of Surgery, 193(4), 521-524.

'Antral dysmotility' - An unrecognized cause of chronic vomiting during infancy. / Byrne, W. J.; Kangarloo, H.; Ament, M. E.; Lo, C. W.; Berquist, W.; Foglia, R.; Fonkalsrud, E. W.

In: Annals of Surgery, Vol. 193, No. 4, 1981, p. 521-524.

Research output: Contribution to journalArticle

Byrne, WJ, Kangarloo, H, Ament, ME, Lo, CW, Berquist, W, Foglia, R & Fonkalsrud, EW 1981, ''Antral dysmotility' - An unrecognized cause of chronic vomiting during infancy', Annals of Surgery, vol. 193, no. 4, pp. 521-524.
Byrne WJ, Kangarloo H, Ament ME, Lo CW, Berquist W, Foglia R et al. 'Antral dysmotility' - An unrecognized cause of chronic vomiting during infancy. Annals of Surgery. 1981;193(4):521-524.
Byrne, W. J. ; Kangarloo, H. ; Ament, M. E. ; Lo, C. W. ; Berquist, W. ; Foglia, R. ; Fonkalsrud, E. W. / 'Antral dysmotility' - An unrecognized cause of chronic vomiting during infancy. In: Annals of Surgery. 1981 ; Vol. 193, No. 4. pp. 521-524.
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