Annular Pancreas in the Adult: Two Case Reports and Review of More Than a Century of Literature

Maker, Vijay; Gerzenshtein, Jacob; Lerner, Terrence
May 2003
American Surgeon;May2003, Vol. 69 Issue 5, p404
Academic Journal
This paper brings the diagnosis and treatment of this interesting yet infrequent condition to contemporary standards through an assessment of past literature and a re-evaluation of the problem in view of technological advances. Two cases of annular pancreas are cited with a review of the last 183 years of literature. Only 100 cases, however, were reported in enough detail to examine outcomes in general and to arrive at a reasonable conclusion in terms of recommendations for diagnosis and operative intervention in adult annular pancreas. Two observations are brought to light. Despite all present diagnostic tools including endoscopic retrograde cholangiopancreatography diagnosis at best is made in only 60 per cent of patients preoperatively. Intraoperative expertise remains the best diagnostic modality available to date. Enteroenterostomy seems to be the intervention of choice for a multitude of anatomic and physiologic reasons and with a wide array of surgical options available when additional factors need to be addressed.


Related Articles

  • A CASE OF ALVEOLAR ECHINOCOCCOSIS RESTRICTED TO THE PANCREAS. Frossard, Jean-Louis; Armenian, Berj; Gottstein, Bruno; Diebold-Borger, Sophie; Khan, Haalem; Vine, Roland; Hadengue, Antoine // American Journal of Gastroenterology;Nov1997, Vol. 92 Issue 11, p2117 

    Presents a case report of alveolar echinococcosis (AE) in an aged woman. Cause of AE; Medical history of the woman; Clinical form of AE; Involvement of the pancreas in AE caused by Echinoccocus multilocularis.

  • Looking for More Than Weight Loss and Fitness Gain: Psychosocial Dimensions Among Older Women in a Primary-Care Exercise-Referral Program. Hardcastle, Sarah; Taylor, Adrian H. // Journal of Aging & Physical Activity;Jul2001, Vol. 9 Issue 3, p313 

    Presents the insights into the cultural and social processes experienced by older women in general practitioner exercise-referral program in Great Britain. Factors influencing the commitment of the aged to exercise programs; Description of the exercise-referral program; Importance of...

  • DERMA Diagnosis. Monroe, Joe R. // Clinician Reviews;Nov2010, Vol. 20 Issue 11, p8 

    The article discusses the case of a 54-year-old woman who was diagnosed with golfer's vasculitis. The initial triamcinolone cream 0.1% initially prescribed by her primary care provider was found to be ineffective. Golfers, fair-goers, amusement park patrons and hikers are likely to develop the...

  • Prognosis of malignant intraductal papillary mucinous tumours of the pancreas after surgical resection. Comparison with pancreatic ductal adenocarcinoma. Maire, F.; Hammel, P.; Terris, B.; Paye, F.; Scoazec, J.-Y.; Cellier, C.; Barthet, M.; O'Toole, D.; Rufat, P.; Partensky, C.; Cuillerier, E.; Lévy, P.; Belghiti, J.; Ruszniewski, P. // Gut;Nov2002, Vol. 51 Issue 5, p717 

    Background: Although the prognosis in malignant resectable intraductal papillary mucinous tumours of the pancreas (IPMT) is often considered more favourable than for ordinary pancreatic ductal adenocarcinoma, the long term outcome remains ill defined. Aims: To assess prognostic factors in...

  • Cases in Clinical Microbiology. Mortensen, Joel E. // Journal of Continuing Education Topics & Issues;Jan2006, Vol. 8 Issue 1, p8 

    The article presents a case study in clinical microbiology involving a male patient suffering from fever and vomiting. After seeing his primary care physician, the patient started taking cefdinir. Results of the examinations that were conducted on the patient are cited. Questions concerning the...

  • Celiac Disease. Daitch, Lisa; Epperson, Joseph N. // Clinician Reviews;Apr2011, Vol. 21 Issue 4, p49 

    The article explores the medical condition known as celiac disease. The ailment, also known as gluten-sensitive enteropathy or celiac sprue, is an autoimmune disorder mediated by gluten ingestion in genetically susceptible individuals, particularly those with a family history. It is a lifelong...

  • Diagnostic Testing for Celiac Disease Among Patients With Abdominal Symptoms. van der Windt, Daniëlle A. W.; Jellema, Petra; Mulder, Chris J.; Frank Kneepkens, C. M.; van der Horst, Henriëtte E. // JAMA: Journal of the American Medical Association;5/5/2010, Vol. 303 Issue 17, p1738 

    The article discusses a study which examined evidence on the performance of diagnostic tests for identifying celiac disease in adults with abdominal symptoms in primary care or similar settings. The researchers conducted a literature search through several resources including MEDLINE and EMBASE....

  • Management of Cystic Neoplasms of the Pancreas. Box, J. Craig; Douglass, Harold O. // American Surgeon;May2000, Vol. 66 Issue 5, p495 

    Cystic lesions of the pancreas are encountered frequently in clinical practice. Cystic neoplasms of the pancreas are much less common. In order to diagnose and most effectively treat these lesions, the surgeon must understand their clinical presentation in order to plan appropriate preoperative...

  • pan·cre·as.  // American Heritage Student Science Dictionary;2009, p253 

    The article presents the definition for "pancreas," which is a long, irregularly shaped gland in vertebrate animals that is located behind the stomach. The pancreas secretes insulin and produces enzymes needed for digestion, which are secreted into the gut or small intestine.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics