Clinical Study Of 127 Infants With Congenital Annular Pancreas

Objective: Objective to analyze and summarize the clinical characteristics of congenital annular pancreas in infants,and to guide the clinical diagnosis and treatment.Methods: The clinical data of 127 infants(≦ 3 months)with Annular pancreas were retrospectively analyzed,and the maternal characteristics,clinical manifestations,auxiliary examinations,diagnosis and treatment and prognosis of the children were analyzed and summarized.Results:(1)Among 127 children with annular pancreas,69 were male and58 were female,male: female=1.19:1;92(72.44%)were admitted for repeated vomiting,of which 47(51.09%)were bile vomiting;(2)Before the operation,103 cases of abdominal Doppler ultrasound examination showed86 cases(83.50%)of duodenal obstruction,including 16 cases(15.53%)of Annular pancreas;119 cases of abdominal X-ray examination showed the upper digestive tract Obstruction 116 cases(97.48%);62 cases underwent gastrointestinal angiography,59 cases(95.16%)showed duodenal obstruction,2 cases(3.23%)upper gastrointestinal obstruction;There were significant differences in the detection rate of duodenal obstruction by abdominal ultrasound and X-ray film(χ2=13.171,P<0.05),and there were significant differences in the detection rate of duodenal obstruction by abdominal ultrasound and gastrointestinal contrast(χ2= 11.408,P<0.05),but were no significant difference between gastrointestinal angiography and abdominal X-ray plain film(χ2=0.419,P>0.05);(3)All children underwent surgical treatment.Among them,124 cases(97.64%)underwent duodenal side-to-side anastomosis,3 cases(2.36%)underwent duodenal-jejunal anastomosis;125 cases were cured and discharged,and 2 cases were discharged Discharged automatically.Conclusions: The main clinical manifestation of annular pancreas is recurrent vomiting after birth.The detection rate of annular pancreas by abdominal ultrasound is higher than that by abdominal X-ray and gastrointestinal radiography.It can be used as the first choice of auxiliary examination.Surgical exploration should be performed as early as possible in children with suspected cricoid pancreas.