Annular pancreas: the failure of side-to-side gastrojejunostomy anastomosis and the success of repair with Roux-en-Y gastrojejunostomy

  • Isaac A. Deswanto Department of Surgery, Tarakan General Hospital, Tarakan, North Kalimantan
  • Janta F. Barus Department of Surgery, Tarakan General Hospital, Tarakan, North Kalimantan
Keywords: annular pancreas, infant, Roux-en-Y gastrojejunostomy, side-to-side gastrojejunostomy
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Abstract

Annular pancreas is a rare congenital anomaly characterized by a partial or complete encirclement of ectopic pancreas tissue around the duodenum. We report a case of annular pancreas in a 15 day-old infant admitted to the hospital with complaints of profuse and recurrent vomiting and loss of body weight. Non-contrast abdominal X-ray showed a dilated stomach with bubbles formation around the upper abdomen. An obstruction was noted and open laparotomy was performed. Upon laparotomy, pancreatic ring encircled the proximal duodenum causing an obstruction. Side-to-side gastrojejunostomy was performed and passage through the bypass was satisfactory. Four days after the operation, vomiting and bulging abdomen ensued. Contrast abdominal X-ray demonstrated filling defects at the level of obstruction and the anastomosis made. Anastomotic stricture was suspected and thus was corrected using Roux-en-Ygastrojejunostomy procedure. Postoperative course in this patient was satisfactory and patient was discharged after 24 days of hospitalization.

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Author Biography

Janta F. Barus, Department of Surgery, Tarakan General Hospital, Tarakan, North Kalimantan
The Head of Surgery Department of RSUD Tarakan, Tarakan, North Kalimantan

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Published
2015-06-23
How to Cite
1.
Deswanto IA, Barus JF. Annular pancreas: the failure of side-to-side gastrojejunostomy anastomosis and the success of repair with Roux-en-Y gastrojejunostomy. Med J Indones [Internet]. 2015Jun.23 [cited 2019Aug.26];24(2):115-9. Available from: http://mji.ui.ac.id/journal/index.php/mji/article/view/1207
Section
Case Report