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Annular Pancreas

At Cypress's GastroDoxs clinic, our specialized annular pancreas evaluation and treatment services combine advanced imaging and expert care to ensure accurate diagnosis, personalized management plans, and compassionate support for patients facing rare congenital pancreatic anomalies right here in our community.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
Houston Methodist leading Medicine
HCA Houston Healthcare
Bharat Pothuri
Symptoms

What Is Annular Pancreas?

An annular pancreas is a rare congenital condition in which a ring of pancreatic tissue surrounds the duodenum (the first part of the small intestine). This ring may be complete or incomplete. When it constricts the duodenum, it can narrow or block the passage of food, leading to digestive discomfort. Diagnosis is typically made with imaging studies such as CT, MRI or contrast X-rays that may show a "double-bubble" sign.

Common Symptoms

Many adults with annular pancreas remain symptom-free, especially if the ring is loose. When symptoms do occur, they often stem from partial obstruction or irritation of the duodenum:

  • Abdominal pain or cramping, especially after eating
  • Bloating or feeling full quickly
  • Nausea or vomiting
  • Frequent acid reflux or heartburn
  • Unintentional weight loss or signs of malabsorption

Causes

An annular pancreas arises during early fetal development when the pancreatic buds fail to rotate and fuse normally around the duodenum. Contributing factors may include:

  • Abnormal migration of the ventral and dorsal pancreatic buds
  • Genetic or unknown developmental influences
  • Association with other congenital anomalies in some cases
Treatment

Treatment Options for Annular Pancreas in Cypress

Treatment includes personalized care ranging from dietary management to advanced procedures:

  • Diet Modification: Smaller, more frequent meals and a low-fat diet to reduce duodenal pressure and ease symptoms.
  • Pancreatic Enzyme Supplements: Prescription enzyme pills to aid digestion when the duodenum is narrowed.
  • Endoscopic Dilation: A minimally invasive procedure using a balloon or stent to widen the constricted segment of the duodenum.
  • Gastrojejunostomy: Surgical bypass that creates a new connection between the stomach and the jejunum, allowing food to bypass the annular ring.
  • Annular Ring Division: Cutting or removing part of the pancreatic ring to relieve compression on the duodenum.
  • Follow-up Imaging: Routine CT scans or MRIs post-procedure to monitor healing and ensure patency of the digestive tract.
  • Specialist Referral: Coordination with a pancreatic surgeon or advanced endoscopist for complex cases requiring multidisciplinary care.

Why Choose GastroDoxs?

At GastroDoxs in Cypress, we specialize in diagnosing and managing annular pancreas with a patient-centered approach. Our experienced team offers advanced imaging, minimally invasive procedures, and customized treatment plans to relieve symptoms and prevent complications. Ready to take control of your digestive health? Book your appointment today and experience compassionate care tailored to your needs.

1K

Patients Treated

We've successfully treated more than 1K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

How is annular pancreas different from a normal pancreas?

Annular pancreas is a congenital condition in which a ring of pancreatic tissue encircles the duodenum, potentially causing narrowing or obstruction, unlike a normally positioned pancreas.

How do you diagnose annular pancreas?

Diagnosis typically involves imaging studies such as CT scans, MRI, or endoscopic ultrasound to visualize the pancreatic ring and assess any duodenal narrowing.

Can annular pancreas become cancerous?

Most cases of annular pancreas are benign. While the overall risk of malignancy is low, regular monitoring and follow-up help detect any unusual changes early.

What is a duodenal obstruction?

A duodenal obstruction is a blockage in the first part of the small intestine. In annular pancreas, the pancreatic ring may compress the duodenum and impede the flow of food.

Can annular pancreas be treated without surgery?

Yes. Mild symptoms often respond to dietary modifications, pancreatic enzyme supplements, and endoscopic procedures to widen the narrowed segment.

What kind of surgery is done for annular pancreas?

Surgical options include bypass procedures (e.g., gastrojejunostomy) to route food around the ring or directly cutting or removing the ringed pancreatic tissue to relieve compression.

How long is recovery after surgery?

Most patients experience significant relief within 1-2 weeks, though individual recovery times vary based on the specific procedure and overall health.

Can the bile duct be affected by annular pancreas?

Yes. If the pancreatic ring presses on the bile duct, it can cause jaundice (yellowing of the skin/eyes) or bile duct infections that require prompt attention.

Do I need a specialist to manage annular pancreas?

Yes. A gastroenterologist or pancreatic specialist is essential for accurate diagnosis, tailored treatment planning, and coordinated care, especially if intervention is needed.

How can I find a gastroenterologist in Cypress?

Contact GastroDoxs in Cypress. Our team of local specialists is experienced in diagnosing and treating rare pancreatic conditions, offering comprehensive care close to home.

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