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Case Reports
. 2012 Feb;16(1):43-5.
doi: 10.14701/kjhbps.2012.16.1.43. Epub 2012 Feb 29.

Laparoscopic treatment of annular pancreas in adults: report of a case

Tae-Ho Noh  1 , Seung Eun Lee  1 , Joong-Min Park  1
Affiliations
Case Reports

Laparoscopic treatment of annular pancreas in adults: report of a case

Tae-Ho Noh et al. Korean J Hepatobiliary Pancreat Surg. 2012 Feb.

Abstract

The annular pancreas in adults is a rare congenital anomaly that is detected after development of complications, such as gastric outlet obstruction, recurrent pancreatitis, and peptic ulcer. Duodenal bypass is the procedure of choice for treating duodenal obstruction caused by the annular pancreas in both children and adults. Duodenoduodenostomy is routinely performed in neonates and children. In adults, duodenojejunostomy or gastrojejunostomy are recommended, because the duodenum is less mobile. We report a case of annular pancreas in a 33-year-old male that was successfully treated with laparoscopic gastrojejunostomy.

Keywords: Annular pancreas; Duodenal bypass; Gastrojejunostomy; Laparoscopy.

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Figures

Fig. 1
Fig. 1. Computed tomography scan shows circumferential soft tissue density around the second portion of the duodenum with luminal narrowing.
Fig. 2
Fig. 2. Upper gastrointestinal series shows 2.4 cm segmental narrowing on the second portion of the duodenum.
Fig. 3
Fig. 3. Magnetic resonance image shows circumferential pancreas around the second portion of the duodenum with luminal narrowing.
See this image and copyright information in PMC

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