Journal List > Korean J Hepatobiliary Pancreat Surg > v.16(1) > 1040565

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Noh, Lee, and Park: Laparoscopic treatment of annular pancreas in adults: report of a case
Case Report
Korean Journal of Hepato-Biliary-Pancreatic Surgery

Korean Journal of Hepato-Biliary-Pancreatic Surgery 2012; 16(1): 43-45.

Published online: 29 February 2012

DOI: https://doi.org/10.0000/kjhbps.2012.16.1.43

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

Tae-Ho Noh, Seung Eun Lee, Joong-Min Park

Department of Surgery, Chung-Ang University College of Medicine, Seoul, Korea.

Corresponding author: Joong-Min Park. Department of Surgery, Chung-Ang University Hospital, 102 Heukseok-ro, Dongjak-gu, Seoul 156-755, Korea. Tel: +82-2-6299-3124, Fax: +82-2-824-7869, jmpark@cau.ac.kr

Received 28 November 2011       Revised 20 December 2011       Accepted 24 December 2011

Copyright © 2012 Korean Association of HBP Surgery

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, Laparoscopy, Gastrojejunostomy

References

1. Cunha JE, de Lima MS, Jukemura J, et al. Unusual clinical presentation of annular pancreas in the adult. Pancreatology. 2005. 5:81–85.
2. Zheng HM, Cai XJ, Shen LG, Finley R. Surgical treatment of annular pancreas in adults: a report. Chin Med J (Engl). 2007. 120:724–725.
3. Kandpal H, Bhatia V, Garg P, Sharma R. Annular pancreas in an adult patient: diagnosis with endoscopic ultrasonography and magnetic resonance cholangiopancreatography. Singapore Med J. 2009. 50:e29–e31.
4. Fu PF, Yu JR, Liu XS, Shen QY, Zheng SS. Symptomatic adult annular pancreas: report of two cases and a review of the literature. Hepatobiliary Pancreat Dis Int. 2005. 4:468–471.
5. De Ugarte DA, Dutson EP, Hiyama DT. Annular pancreas in the adult: management with laparoscopic gastrojejunostomy. Am Surg. 2006. 72:71–73.
6. Foo FJ, Gill U, Verbeke CS, Guthrie JA, Menon KV. Ampullary carcinoma associated with an annular pancreas. JOP. 2007. 8:50–54.
7. Whittingham-Jones PM, Riaz AA, Clayton G, Thompson HH. Annular pancreas - a rare cause of gastric obstruction in an 82-year-old patient. Ann R Coll Surg Engl. 2005. 87:W13–W15.
8. Sandrasegaran K, Patel A, Fogel EL, Zyromski NJ, Pitt HA. Annular pancreas in adults. AJR Am J Roentgenol. 2009. 193:455–460.
9. Moodley S, Hegarty M, Thomson SR. Annular pancreas. S Afr Med J. 2004. 94:28–30.
10. Zyromski NJ, Sandoval JA, Pitt HA, et al. Annular pancreas: dramatic differences between children and adults. J Am Coll Surg. 2008. 206:1019–1025.
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