J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 6010KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 81(10): 1371-1379, 1980

Original article

A CASE OF AN ANNULAR PANCREAS ASSOCIATED WITH DUODENAL STENOSIS

*) Department of Surgery, Kawaguchi Industry General Hospital
**) Second Department of Surgery, Tokyo Medical and Dental University

Shigeru Oshima*), Hideki Nakahara*), Michio Nagashima**), Tomihiro Kawamitsu**), Eisaku Gu**)

A 19-year-old symptomatic male was found to have a obstruction of the second portion of the duodenum, medial displacement of the stenotic portion of the duodenum, and mucosa! effacement by barium X-ray studies. He underwent laparotomy under the diagnosis of duodenal stenosis, and an annular pancreas was found. Duodenojejunostomy and selective proximal vagotomy plus pyloroplasty (Holle's method) were carried out. Postoperatively he had a favorable course with Visick grading I and a decrease of the gastric acid secretion by more than 80%.

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