An antral web was discovered during the work-up of postcibal vomiting in an 18-month-old infant. An omphalocele repair had been performed previously and altered intraperitoneal anatomic relationships favored an endoscopic approach to web resection. The method devised was successful in removing the web; however, six weeks later laparotomy was necessary because of recurrent vomiting. At surgery the web was completely gone, although a circumferential ulcer was now present at the site of the prior web. Antroplasty was curative. An endosopic approach to antral webs is feasible and may in certain cases obviate laparotomy.
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