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Surgery Pancreatic Vascular Anatomy and Innervation 16d5a54e

Treatment of choice for annular pancreas is -

A
Division of pancreas
B
Duodeno-duodenostomy
C
Duodeno-jejunostomy
D
Roux-en-Y loop
High-Yield Explanation
Ans B Reference Sabiston Textbook of Surgery. 20th edition. Annular pancreas results from aberrant migration of the ventral pancreas bud which leads to circumferential or near-circumferential pancreas tissue surrounding the second portion of the duodenum This abnormality may be associated with other congenital defects, including Down syndrome, malrotation, intestinal atresia, and cardiac malformations If symptoms of obstruction occur surgical bypass through duodenojejunostomy is performed Axial image from an abdominal CT scan showing the annulus encircling the duodenum (arrow). Courtesy-

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