Annular pancreas: a clinical, endoscopic, and immunohistochemical study.
Open Access
- 1 January 1989
- Vol. 30 (1) , 130-135
- https://doi.org/10.1136/gut.30.1.130
Abstract
A patient with annular pancreas presenting with severe upper abdominal pain is discussed. Endoscopic retrograde cholangiopancreatography (ERCP) was diagnostic, with successful injection of major and minor papillae showing pancreas divisum, an annular duct emptying at the major papilla and changes of severe chronic pancreatitis in all duct systems. Pylorus preserving pancreatoduodenectomy gave complete pain relief. The annulus was shown immunohistochemically to be entirely of ventral gland origin. Chronic pancreatitis was histologically less severe in the dorsal gland. Antegrade dye injection with x-ray showed dorsal to ventral connection in the resected specimen.Keywords
This publication has 27 references indexed in Scilit:
- A “short pancreas”Gastrointestinal Endoscopy, 1986
- Congenital short pancreas: a report of two cases.Gut, 1985
- Coexistence of annular pancreas and pancreas divisum—ERCP diagnosisGastrointestinal Endoscopy, 1985
- CT Diagnosis of Annular PancreasJournal of Computer Assisted Tomography, 1984
- Congenital bile duct cysts draining through Santorini's ductBritish Journal of Surgery, 1984
- Annular pancreasDigestive Diseases and Sciences, 1984
- Clinical significance of anomalous pancreaticobiliary unionGastrointestinal Endoscopy, 1983
- Annular pancreas diagnosed by endoscopic retrograde-choledochopancreatography (ERCP)The British Journal of Radiology, 1980
- Pediatric annular pancreas: Twenty years' experienceJournal of Pediatric Surgery, 1976
- Annular PancreasAnnals of Surgery, 1957