Recurrent vomiting, insufficient weight gain, and sleep disturbances in newborn babies firstly bring to mind gastroesophageal reflux. However, vomiting may not always be innocent. There may be an underlying surgical pathology. Ali İnanç, who could not feed well and continued to vomit after his birth, diagnosed the baby with Prepyloric Antrol Diaphragm and performed the operation. I can say the following about the case; Our patient, who we learned that his mother had also been operated on due to a problem in the stomach outlet when he was a baby, could not tolerate feeding when he went home after his birth. The amount of food has never been increased. He was being observed to be investigated in the center he applied for due to malnutrition and vomiting. With the medicated film, we determined that he had a problem with the stomach exit. We planned the operation by taking over our institution. We operated when he was 20 days old, and we fixed the problem at the exit of the stomach. We started feeding 3 days after the operation. He was discharged within 1 week.
Surgical causes of vomiting in infants who continue to vomit are extremely rare. If the baby has persistent vomiting and the vomiting does not contain bile, the problem of gastric outlet should be considered.
The most common surgical cause is thickening of the pyloric muscle at the exit of the stomach (infantile hypertrophic pyloric stenosis). The thickening of the pylorus prevents food from passing from the stomach to the small intestine. Since the baby constantly vomits his suckling, he cannot gain weight, his general condition becomes more and more frail. It typically presents with purulent and non-bilious vomiting following feeding, which becomes apparent in 3-6 weeks.
Another surgical reason is a disease called Prepyloric Antrol Diaphragm/Web. It occurs on average once in 100,000. Here, a membrane-like structure in the exit region of the stomach prevents the passage of food into the intestine. This was our patient’s diagnosis.
