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[Annular pancreas in children]
Insights
Annular pancreas in children causes intestinal obstruction. Surgical treatment involves bypass anastomosis, as ring dissection is not advised. High mortality is linked to prematurity and birth complications.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Congenital Malformations
Background:
- Annular pancreas is a rare congenital anomaly where pancreatic tissue encircles the duodenum.
- It often presents in infancy or childhood with symptoms of upper intestinal obstruction.
Observation:
- This study reviewed 19 pediatric patients diagnosed with annular pancreas.
- Clinical manifestations included acute or recurrent high intestinal obstruction.
Findings:
- The primary surgical approach involved bypass anastomosis (duodenojejunostomy or duodenoduodenostomy).
- Direct dissection of the pancreatic ring was deemed inadvisable in pediatric cases.
- A significant postoperative mortality rate of 10 out of 19 patients was observed.
Implications:
- The high mortality rate is attributed to factors such as prematurity, associated developmental defects, and birth trauma.
- Effective management requires careful consideration of surgical techniques and management of comorbidities.
- Further research into optimizing surgical outcomes and reducing mortality in pediatric annular pancreas cases is warranted.
Abstract:
In the paper, the results of examination and treatment of 19 patients with a ring-shape pancreas are presented. In children an annular pancreas is manifested in acute or recurrent high intestinal obstruction. The method of treatment consists in by-pass anastomosis constructed between the duodenum and jejunum or duodenoduodenostomy. Dissection of the ring seems to be not permissible in children. 10 children died postoperatively. The high mortality rate is conditioned by premature delivery, associated defects of development and delivery trauma.