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

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.

Laparoscopic Treatment of Annular Pancreas Causing Duodenal Obstruction in an Adult: A Case Report

“…11 Although duodenoduodenostomy is a procedure of choice in infancy, gastrojejunostomy or duodenojejunostomy have been considered in adult patients due to less mobility of the duodenum. 3,4,12 The minimally invasive surgery is generally performed due to less postoperative complications and a short hospital stay. Laparoscopic gastrojejunostomy is a useful treatment modality of the annular pancreas.…”

“…It has been reported that laparoscopic duodenoduodenostomy and laparoscopic gastrojejunostomy are successfully performed in pediatric and adult patients. [3][4][5]11 To our experience, we suggest that laparoscopic Roux-en-Y gastrojejunostomy is a good procedure option for annular pancreas in adults.…”

“…1,2 Although the condition is usually found in infants, annular pancreas in adults were reported with incidence varying from 0.005% to 0.015% of life long incidence. 3 More than 70.0% of cases are symptomatic 3 and the most common presentation is gastric outlet obstruction when bile drainage is spared. Treatment of annular pancreas is to relieve the duodenal obstruction bypassing procedures.…”

Annular pancreas causing pyloric stenosis in a 66-year-old patient treated with gastrojejunostomy: a case report

“…There is a preponderance of cases of annular pancreas in the infant/newborn population. It is exceptionally rare in the adult population with incidences varying from 0.005% to 0.015%, and presentation is variable and can include duodenal obstruction, pancreatitis or symptoms of peptic ulcer disease [ 2 , 3 ].…”