小儿环状胰腺五例报告

目的：探讨小儿环状胰腺引起消化道梗阻的原因与临床特点。方法：对本组5例手术治疗的小儿环状胰腺的临床特点、手术所见及尸检结果进行综合分析，从中寻找各年龄组间肠梗阻原因、病理改变及并发畸形的关系。结果：新生儿环状胰腺均表现为高位完全性肠梗阻症状，多合并十二指肠膜状闭锁；年长儿则出现慢性不完全性肠梗阻症状，常为环状胰腺压迫十二指肠所致。环状胰腺直接引起十二指肠狭窄占35．8％。结论：有症状的环状胰腺患儿均应手术治疗，手术方法以建立通畅的消化道为原则，术中应详细探查有无肠闭锁等并发畸形。

Annular pancreas in children: a report of 5 cases and literature review

Objective To explore clinical characteristics of the digestive tract obstruction due to annular pancreas. Methods We reviewed retrospectively clinical features, operative findings and the autopsy of 5 children with annular pancreas. Results Neonate patients usually present complete upper gastro intestinal obstruction because most of them were complicated with duodenal atresia. Infants present chronic incomplete intestinal obstruction duo to annular pancreas. 35.8% of duodenal constriction was caused by annular pancreas. Conclusions All the symptomatic patients with annular pancreas should undergo exploration to restore the consecution of the digestive tract and to detect if there is a concurrent malformation such as intestinal atresia.