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.
Bakır et al. (Fri,) studied this question.