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Annular Pancreas

Annular pancreas is a rare congenital anomaly where pancreatic tissue encircles the duodenum, causing digestive blockage and discomfort. In Houston, Dr. Bharat Pothuri at GastroDoxs offers advanced imaging, personalized diet, medications, and minimally invasive procedures to restore digestion and relief.

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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

About the Expert

Dr. Bharat Pothuri is a board-certified gastroenterologist and the founder of GastroDoxs. 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.

Common Causes and Risk Factors

  • Abnormal pancreatic development in the womb
  • Family history of pancreatic malformations
  • Polyhydramnios (excess amniotic fluid) during pregnancy
  • Genetic syndromes such as Down syndrome

Signs and Symptoms

  • Recurrent or cramp-like abdominal pain
  • Nausea and vomiting, especially after meals
  • Early fullness or bloating
  • Poor weight gain or slow growth in infants

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.

Bharat Pothuri
Treatment

Our Team offers a full range of care for annular pancreas.

1. Lifestyle and Diet Modifications

  • Eat smaller, more frequent meals to ease digestion
  • Avoid fried, spicy or high-fat foods that can trigger symptoms
  • Stay hydrated with water; limit soda and sugary drinks
  • Work with a nutrition specialist for a personalized meal plan

2. Medications

  • Acid blockers to reduce stomach pain and heartburn
  • Pancreatic enzyme supplements to aid digestion
  • Pain relief medications as needed for comfort

3. Minimally Invasive or Advanced Procedures

  • Balloon dilation to gently open a narrowed duodenum
  • Endoscopic ultrasound-guided interventions when indicated
  • Laparoscopic bypass surgery to reroute food around the pancreatic ring
1K

Patients Treated

Dr. Pothuri has 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

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.

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