Expert Treatment for Annular Pancreas by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Physical Exam
He reviews your symptom history-especially epigastric pain, vomiting patterns, and feeding or digestion issues. He examines your abdomen for tenderness or signs of duodenal obstruction.
Blood Tests
We draw labs to rule out pancreatitis or other causes of abdominal pain by checking pancreatic enzymes (amylase, lipase), inflammatory markers, and nutritional status.
Imaging Studies
- CT Scan or MRI/MRCP to visualize the pancreatic ring encircling the duodenum and assess for obstruction.
- Endoscopic Ultrasound for a high-resolution look at pancreatic tissue and surrounding structures.
Endoscopic Evaluation
An upper endoscopy (EGD) may be performed to directly observe duodenal narrowing and evaluate mucosal health.
Advanced Testing (if needed)
In rare cases, genetic panels or motility studies help clarify complex anatomy or associated syndromes.
Frequently Asked Questions
What is an annular pancreas?
An annular pancreas is a rare congenital condition where pancreatic tissue forms a ring around the duodenum, potentially causing obstruction or digestive issues.
What symptoms does annular pancreas cause?
Symptoms include abdominal pain, vomiting (especially of bile), fullness, and feeding intolerance in infants; adults may have pain, nausea, or pancreatitis.
How is annular pancreas diagnosed?
Diagnosis often involves imaging studies like CT scan, MRI, or endoscopic ultrasound; an upper GI series can show duodenal narrowing from the pancreatic ring.
What treatments are available for annular pancreas?
Mild cases can be managed with dietary changes and enzyme supplements; surgical bypass (e.g., duodenojejunostomy) is used for significant obstruction or recurrent symptoms.
Is surgery always required?
No. Surgery is reserved for patients with symptomatic obstruction or recurrent pancreatitis; asymptomatic individuals may only need monitoring.
Can annular pancreas lead to other complications?
Yes. It can cause chronic pancreatitis, peptic ulcers, or malabsorption if not treated; early intervention helps prevent these issues.
What is the long-term outlook?
With appropriate treatment, most patients have good outcomes. Surgical bypass resolves obstruction, and enzyme therapy manages digestive function effectively.