Question:medium
Treatment of choice for annular pancreas is:
Treatment of choice for annular pancreas is:
Show Hint
Bypass the ring, never cut it.
Updated On: Jun 24, 2026
- Division of pancreas
- Duodenoduodenostomy
- Duodenojejunostomy
- Roux-en-Y loop
Show Solution
The Correct Option is C
Solution and Explanation
Picture a collar of pancreas wrapped around the descending duodenum, pinching it. The treatment logic is simple: relieve the blockage while leaving the encircling pancreatic tissue undisturbed.
Cutting through the ring is tempting but dangerous, because it can trigger pancreatitis, a pancreatic fistula or duodenal leak, and it may not even fully open the lumen. So surgeons do not divide the annulus.
Instead they create a bypass that carries food past the constricted segment. Either a duodenoduodenostomy or a duodenojejunostomy achieves this; this item flags duodenojejunostomy as the chosen bypass. A standalone Roux-en-Y loop is a reconstructive trick used elsewhere and is not the standard named answer for the annular ring.
$\text{Goal: bypass the obstruction, do not divide the ring}$
\[\boxed{\text{Duodenojejunostomy}}\]
Cutting through the ring is tempting but dangerous, because it can trigger pancreatitis, a pancreatic fistula or duodenal leak, and it may not even fully open the lumen. So surgeons do not divide the annulus.
Instead they create a bypass that carries food past the constricted segment. Either a duodenoduodenostomy or a duodenojejunostomy achieves this; this item flags duodenojejunostomy as the chosen bypass. A standalone Roux-en-Y loop is a reconstructive trick used elsewhere and is not the standard named answer for the annular ring.
$\text{Goal: bypass the obstruction, do not divide the ring}$
\[\boxed{\text{Duodenojejunostomy}}\]
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