Learn About Annular Pancreas
An annular pancreas is a ring of pancreatic tissue that encircles the duodenum (the first part of the small intestine). The normal position of the pancreas is next to, but not surrounding the duodenum.
Annular pancreas is problem present at birth (congenital defect). Symptoms occur when the ring of pancreas squeezes and narrows the small intestine so that food cannot pass easily or at all.
Newborns may have symptoms of complete blockage of the intestine. However, up to one half of people with this condition do not have symptoms until adulthood. There are also cases that are not detected because the symptoms are mild.
Conditions that may be associated with annular pancreas include:
- Down syndrome
- Excess amniotic fluid during pregnancy (polyhydramnios)
- Other congenital gastrointestinal problems
- Pancreatitis
Newborns may not feed well. They may spit up more than normal, not drink enough breast milk or formula, and cry.
Adult symptoms may include:
- Fullness after eating
- Nausea or vomiting
Treatment most often involves surgery to bypass the blocked part of the duodenum.
2-7 Daigaku Machi
Kazuhisa Uchiyama is in Takatsuki, Japan. Uchiyama is rated as a Distinguished expert by MediFind in the treatment of Annular Pancreas. They are also highly rated in 10 other conditions, according to our data. Their top areas of expertise are Annular Pancreas, Liver Cancer, Colorectal Cancer, and Gastrectomy.
Polytechnic University Of Marche
Filippo Antonini is in Fermo, Italy. Antonini is rated as a Distinguished expert by MediFind in the treatment of Annular Pancreas. They are also highly rated in 3 other conditions, according to our data. Their top areas of expertise are Annular Pancreas, Pancreatic Cancer, Exocrine Pancreatic Insufficiency, and Hereditary Pancreatitis.
Suk-bae Moon is in Seoul, Republic of Korea. Moon is rated as a Distinguished expert by MediFind in the treatment of Annular Pancreas. They are also highly rated in 3 other conditions, according to our data. Their top areas of expertise are Annular Pancreas, Appendicitis, Ileostomy, and Appendectomy.
The outcome is most often good with surgery. Adults with an annular pancreas are at increased risk for pancreatic or biliary tract cancer.
Complications may include:
- Obstructive jaundice
- Pancreatic cancer
- Pancreatitis (inflammation of the pancreas)
- Peptic ulcer
- Perforation (tearing a hole) of the intestine due to obstruction
- Peritonitis
Contact your health care provider if you or your child has any symptoms of annular pancreas.
Published Date: October 26, 2021
Published By: Michael M. Phillips, MD, Emeritus Professor of Medicine, The George Washington University School of Medicine, Washington, DC. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
Maqbool A, Bales C, Liacouras CA. Intestinal atresia, stenosis, and malrotation. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 356.
Mehta MS, Barth BA, Husain SZ. Anatomy, histology, embryology, and developmental anomalies of the pancreas. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology/Diagnosis/Management. 11th ed. Philadelphia, PA: Elsevier; 2021:chap 55.
Semrin MG. Anatomy, histology, and developmental anomalies of the stomach and duodenum. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology/Diagnosis/Management. 11th ed. Philadelphia, PA: Elsevier; 2021:chap 49.