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[Annular pancreas (author's transl]

K Dahm, D Grossner, A Knipper

    Zentralblatt Fur Chirurgie
    |January 1, 1978
    PubMed
    Summary
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    Annular pancreas in adults often causes duodenal obstruction, presenting asymptomatically until complications arise. Endoscopic retrograde pancreatography is crucial for diagnosis, with bypass gastrojejunostomy recommended for treatment.

    Area of Science:

    • Gastroenterology
    • Surgical Pathology

    Context:

    • Presents eight cases of annular pancreas treated at the University Hospital of Hamburg from 1964 to 1977.
    • Highlights the typical presentation of annular pancreas in adults as chronic duodenal obstruction.

    Purpose:

    • To describe the clinical presentation, diagnosis, and management of annular pancreas.
    • To review theories on the development of annular pancreas.

    Summary:

    • Adult annular pancreas often presents asymptomatically, with complications like peptic ulceration, pancreatitis, or bile duct obstruction.
    • Preoperative diagnosis relies on endoscopic retrograde pancreatography.
    • Treatment involves relieving duodenal obstruction, often with bypass gastrojejunostomy for associated peptic ulcers.

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    Impact:

    • Emphasizes the importance of considering annular pancreas in adult patients with duodenal obstruction.
    • Underscores the risk of fistula formation with direct division or resection of the pancreatic annulus.
    • Draws attention to the frequent co-occurrence of annular pancreas with other gastrointestinal malformations.