Pediatric Annular Pancreas: A 12-Year Experience

Authors

  • Rangsan Niramis Department of Surgery, Children's Hospital, Rajavithi Road, Bangkok 10400 Thailand.
  • Sukawat Watanatittan Department of Surgery, Children's Hospital, Rajavithi Road, Bangkok 10400 Thailand.
  • Maitree Anuntkosol Anuntkosol Department of Surgery, Children's Hospital, Rajavithi Road, Bangkok 10400 Thailand
  • Tongkao Rattanasuwan Department of Surgery, Children's Hospital, Rajavithi Road, Bangkok 10400 Thailand.
  • Veera Buranakitjaroen Department of Surgery, Children's Hospital, Rajavithi Road, Bangkok 10400 Thailand.

Abstract

                Annular pancreas is a rare congenital anomaly that consists of normal pancreatic tissue arranging in a continuous ring around the descending duodenum. This paper reported an experience of 52 pediatric patients with annular pancreas and duodenal obstruction who were treated at the Surgical Department of the Children's Hospital during 1 985- 1996. Thirty-five were male and seventeen were female. Age at onset of symptom ranged from I day to 20 months. Vomiting was the most common presentation in these patients. Jaundice and maternal polyhydramnios were noted in 50 and 21 per cent respectively. All underwent surgical treatment and duodenoduodenostomy was the most common procedure performed. Complete duodenal obstruction with annular pancreas was noted in 35 of 52 cases and their survival rate was 74.3 per cent. Incomplete duodenal obstruction with annular pancreas was found in 17 of 52 patients and the survival rate was 88.2 per cent. The overall survival rate was 78.9 per cent. Congenital heart disease, pulmonary complication, prematurity and septicemia were among the major causes of death.

                Our experience from this study suggested that the high incidence of associated serious congenital anomalies resulted in the high mortality in these patients. Duodenal bypass by duodenoduodenostomy was the most popular and effective procedure for correction of duodenal obstruction with annular pancreas.

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Published

1998-09-30

How to Cite

1.
Niramis R, Watanatittan S, Anuntkosol MA, Rattanasuwan T, Buranakitjaroen V. Pediatric Annular Pancreas: A 12-Year Experience. Thai J Surg [Internet]. 1998 Sep. 30 [cited 2024 Nov. 23];19(3):85-90. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/250030

Issue

Vol. 19 No. 3 (1998): July - September

Section

Original Articles

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.