Dahm K, Grossner D, Knipper A, Soehendra N, Vogel H
Zentralbl Chir. 1978;103(20):1349-56.
Eight cases of annular pancreas treated at the University Hospital of Hamburg between 1964 to 1977 are presented. In adults, the disease follows the pattern of chronic duodenal obstruction being often asymptomatic unless complications such as peptic ulceration, acute pancreatitis or bile duct obstruction occur. Preoperative diagnosis is only possible by using endoscopic retrograde pancreatography. Attention is drawn to the frequent co-existence of other malformations of the gastro-intestinal tract. Treatment should consist of relief of any obstruction to the duodenum by a bypass gastrojejunostomy is recommeded in those cases having associated peptic ulcer. The division or resection of the annulus bears the risk of fistula formation. A brief review of the theories of the development of annular pancreas is given.
本文介绍了1964年至1977年间在汉堡大学医院接受治疗的8例环状胰腺病例。在成人中，该病表现为慢性十二指肠梗阻，通常无症状，除非发生诸如消化性溃疡、急性胰腺炎或胆管梗阻等并发症。术前诊断只能通过内镜逆行胰胆管造影来进行。需要注意的是，胃肠道其他畸形常与之并存。治疗应包括通过胃空肠吻合术解除对十二指肠的任何梗阻，对于伴有消化性溃疡的病例，推荐采用这种方法。环状胰腺的分离或切除有形成瘘的风险。本文对环状胰腺的发育理论进行了简要回顾。
