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Annular Pancreas

Katy GastroDoxs offers specialized diagnosis and state-of-the-art minimally invasive treatment for annular pancreas, ensuring personalized, compassionate care and comprehensive, around-the-clock follow-up right here in our community, making it the trusted local center for digestive health solutions and expert pancreatic therapy.

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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?

Annular pancreas is a rare congenital condition in which a ring of pancreatic tissue encircles the duodenum (the first part of the small intestine). This ring can constrict or block the passage of food, leading to digestive issues. Although present from birth, symptoms can appear in newborns or later in life.

Common Symptoms

Symptoms vary by age, and some people remain asymptomatic. When present, they may include:

  • Greenish (bilious) vomiting in newborns
  • Belly pain or cramps
  • Bloating or feeling full quickly after eating
  • Slow weight gain in infants
  • Heartburn or acid reflux in older children and adults

Causes

Annular pancreas occurs during fetal development, when one of two pancreatic buds migrates abnormally and forms a ring around the duodenum. The exact trigger is unknown but may involve genetic factors. It is not related to diet, lifestyle, or environmental exposures.

Treatment

Treatment Options for Annular Pancreas in Katy

Treatment includes monitoring, nutritional support, endoscopic intervention, and surgery:

  • Monitoring and observation: For mild or asymptomatic cases, our team tracks symptoms and growth to ensure no progression.
  • Special diets and nutrition support: Tailored meal plans and feeding strategies help infants and adults maintain adequate nutrition and prevent discomfort.
  • Endoscopic dilation: A minimally invasive procedure to widen the narrowed duodenum and improve food passage.
  • Surgical bypass (duodenojejunostomy): Creating a new pathway around the obstructed segment of the small intestine to relieve blockages.
  • Regular follow-up visits: Ongoing checkups with our Katy gastroenterologist to adjust treatment and monitor recovery.

Why Choose GastroDoxs?

At GastroDoxs in Katy, we specialize in diagnosing and treating annular pancreas with a patient?first approach. Our experienced gastroenterologists use the latest imaging and endoscopic techniques to tailor care plans-from nutritional support to minimally invasive procedures and surgery. We combine compassionate support with clear communication so you and your family always know what to expect. Don't wait to get relief-book your appointment today and take the first step toward better digestive health.

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

What is the first sign of annular pancreas?

Often, newborns vomit greenish (bilious) fluid soon after feeding, indicating that the duodenum may be partially blocked by the surrounding pancreatic ring.

How is annular pancreas diagnosed?

Doctors typically use imaging tests-such as CT scans, MRI, or an upper GI series with contrast-to visualize the pancreas and duodenum and confirm the presence of a pancreatic ring.

Can adults get symptoms later in life?

Yes. Some adults remain symptom-free until inflammation, stress, or other digestive issues cause the annular ring to narrow the duodenum and trigger symptoms.

Why do symptoms appear?

Symptoms arise because the ring of pancreatic tissue constricts the duodenum, making it harder for food to pass and leading to pain, vomiting, or reflux.

Is surgery always required?

No. Mild or asymptomatic cases may only need dietary adjustments and regular monitoring, while more severe blockages may warrant surgical or endoscopic intervention.

How long does surgery recovery take?

Most people recover from duodenojejunostomy or similar bypass surgery within 4 to 6 weeks, though individual healing times can vary based on overall health.

Are there risks with endoscopy?

Yes, although complications are rare. Potential risks include bleeding, infection, or perforation of the digestive tract.

Can I see a specialist in Katy?

Yes. Our GastroDoxs clinic in Katy has an annular pancreas specialist available to diagnose and manage this condition.

Do you treat both kids and adults?

Yes. We offer age-specific treatment plans and nutritional support for patients of all ages, from infants to adults.

How do I book a visit?

You can call our Katy office or use the appointment form on our website to schedule a consultation with one of our gastroenterologists.

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