Annular Pancreas is a birth defect (congenital) in which a ring of the pancreatic tissue is surrounding and potentially narrowing the duodenum (the first part of a small intestine). Such an abnormal ring can block or squeeze intestine resulting in feeding and digestive issues to newborns, gastrointestinal issues to older kids or adults.
Depending on the age, they can have various symptoms but they might involve:
The condition is connected with the formation of the pancreas in the fetus that is expected to have two separate buds that are expected to merge and turn out of the duodenum. In Annular pancreas, rotation process fails and the pancreatic tissue will most likely unravel and move about the intestine rather than relocating to its usual position.
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The CT scan or endoscopy ultrasound are the imaging studies which are used to diagnose Annular Pancreas. In other cases, MRI, abdominal ultrasound, or upper endoscopy may as well be performed in order to determine the pancreatic ring around the duodenum.
Milder cases of Annular Pancreas that do not require any significant obstruction or symptomatology may be treated in a non-surgical fashion through change of diet and observation. However, any of this severe difficulty or persistent symptoms normally fights surgical intervention in order to relieve them.
Duodenal atresia is a congenital malady that is associated with the nearby complete obstruction or loss of the duodenum. It is commonly associated with Annular Pancreas and compounding feeding and digestive complications in newborn children.
No. Polyhydramnios-of pregnancy- could have a variety of causes in the fetus or in the mother. Though this is one of the potential signs of Annular Pancreas, further examination has to be conducted in order to determine the exact cause.
Even the infants who have severe obstruction are also found to have the symptoms of vomiting and abdominal distension shortly after birth. However, there are milder forms which one will not realize till the age of childhood or even in old age when an individual feels some digestive pains or nausea.
Yes. Surgical repair-which is usually laparoscopy- is, in general believed, safe in newborns. Most of the infants recover fast, spend days to start feeding and experience few complications.
Generally, it takes two to four weeks of recovery. Patients are able to start eating typically through the mouth in limited volumes within few days after surgery and they are able to gradually resume normal diet as soon as he discovers that he is able to consume it as he feels comfortable.
There are patients who require a follow up visit especially when the symptoms persist or recur. However, most of the individuals, once successfully operated with the assistance of Annular Pancreas, are relieved in the long run and do not need long term treatment.
Yes. Small-frequency meal intake and low intake of high-fat food are likely to relieve digestion and reduce discomfort, in the case of mild cases or after surgery recovery.
GastroDoxs in Houston ought to be contacted so as to connect to a board-certified gastroenterologist who has experience in unusual GI diseases. Our patients receive comprehensive evaluation, care planning and services to both elderly and children.