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Case Reports
. 2018 Jun;6(11):211.
doi: 10.21037/atm.2018.05.13.

Laparoscopic Roux-en-Y duodenojejunostomy for annular pancreas in adults: case report and literature review

He Cai  1   2 , Xin Wang  1 , Yun-Qiang Cai  1   2 , Yong-Bin Li  1   2 , Ling-Wei Meng  1   2 , Bing Peng  1
Affiliations
Case Reports

Laparoscopic Roux-en-Y duodenojejunostomy for annular pancreas in adults: case report and literature review

He Cai et al. Ann Transl Med. 2018 Jun.

Abstract

Annular pancreas is in adults is a rare congenital anomaly which incidence varied from 0.005% to 0.015%. Although 33% of the cases are symptomatic, the symptoms are most commonly associated with gastric outlet obstruction. Here we presented an adult diagnosed with annular pancreas treated by laparoscopic Roux-en-Y side to side duodenojejunostomy.

Keywords: Annular pancreas; adult patients; laparoscope; surgery.

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Conflict of interest statement

Conflict of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
CT scan showing the ring-like head of the pancreas. (A) Dilated upper part of the duodenum; (B) pancreatic duct in the head of the pancreas; (C) single arrowhead: duodenum; double arrowheads: pancreas; (D) food residue within the stomach.
Figure 2
Figure 2
EGD. (A) Sinuses ventriculi; (B) dilated duodenal bulb; (C) dilated upper part of the second part of duodenum; (D) obstructive part of the duodenum. EDG, esophagogastroduodenoscopy.
Figure 3
Figure 3
Exploration and enteroenterostomy. (A) Single arrowhead: pancreas; double arrowheads: duodenum; (B) transected jejunum; (C) fire the opposing walls of the viscera; (D) close the enterotomy.
Figure 4
Figure 4
Duodenojejunostomy. (A) Single arrowhead: duodenum (B) double arrowheads: proximal jejunum; (C) open the jejunum; (D) suture intestinal openings; (E) sutures the second layer.
See this image and copyright information in PMC

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