Open AccessLaparoscopic Roux-en Y duodenojejunostomy: A safe and physiological treatment for symptomatic annular pancreas in adults
Author(s) -
Bhushan Chittawadagi,
Palanisamy Senthilnathan,
Samrat V Jankar,
Sandeep C Sabnis,
Ramakrishnan Parthasarathi,
Chinnusamy Palanivelu
Publication year - 2020
Publication title -
journal of minimal access surgery
Language(s) - English
Resource type - Journals
eISSN - 0972-9941
pISSN - 1998-3921
DOI - 10.4103/jmas.jmas_245_18
Subject(s) - medicine , annular pancreas , perioperative , anastomosis , surgery , roux en y anastomosis , pancreas , laparoscopy , general surgery , duodenum , gastric bypass , weight loss , obesity
Annular pancreas is a rare, congenital, rotational anomaly of pancreas, seen usually in newborns who present with features of duodenal obstruction. However, in adults, only 24% of cases are present with duodenal obstruction. Surgery remains the procedure of choice in patients in whom symptoms can be attributed to duodenal obstruction and the goal of surgery is to relieve obstruction by bypassing the annulus. Laparoscopic Roux-en Y duodenostomy (DJ) is our preferred bypass approach for this condition. Literature search revealed that very few case reports have been published about laparoscopic management of annular pancreas, especially about duodenojejunal anastomosis. We present our experience in the laparoscopic management of symptomatic annular pancreas in adults and technique of the laparoscopic Roux-en Y DJ for annular pancreas.