{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T17:42:56Z","timestamp":1782668576654,"version":"3.54.5"},"reference-count":4,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2024,10,15]],"date-time":"2024-10-15T00:00:00Z","timestamp":1728950400000},"content-version":"vor","delay-in-days":14,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Annular pancreas is a rare congenital abnormality that is often considered a neonatal condition, though in few cases it can present in adulthood. Patients diagnosed with annular pancreas in adulthood are often asymptomatic and diagnosed incidentally from radiologic studies. While there is no existing treatment protocol for symptomatic annular pancreas, multiple surgical approaches have been documented in the literature. In this case study we present a 49-year-old female patient who presented with gastric outlet obstruction secondary to annular pancreas. The patient was treated with nasogastric decompression and open side-to-side gastrojejunostomy with an antecolic approach to bypass the obstructed duodenal segment. The surgery was successful, followed by an uneventful postoperative course and discharge on postoperative Day 4. By 5-week outpatient follow-up the patient had resolution of her symptoms and achieved weight gain.<\/jats:p>","DOI":"10.1093\/jscr\/rjae638","type":"journal-article","created":{"date-parts":[[2024,10,15]],"date-time":"2024-10-15T16:37:52Z","timestamp":1729010272000},"source":"Crossref","is-referenced-by-count":2,"title":["Adult presentation of symptomatic annular pancreas treated with gastrojejunostomy"],"prefix":"10.1093","volume":"2024","author":[{"given":"Violet M","family":"Kryzsko","sequence":"first","affiliation":[{"name":"Division of Acute Care Surgery, University of Nebraska Medical Center , 620 S 42nd St, Omaha, NE 68105 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria E","family":"Tecos","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Oregon Health & Science University , 3181 S.W. Sam Jackson Park Road, Portland, OR 97239 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keely L","family":"Buesing","sequence":"additional","affiliation":[{"name":"Division of Acute Care Surgery, University of Nebraska Medical Center , 620 S 42nd St, Omaha, NE 68105 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2662-5485","authenticated-orcid":false,"given":"Reynold","family":"Henry","sequence":"additional","affiliation":[{"name":"Division of Acute Care Surgery, University of Nebraska Medical Center , 620 S 42nd St, Omaha, NE 68105 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,10,15]]},"reference":[{"key":"2024101514485719900_ref1","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1016\/j.ijscr.2016.02.001","article-title":"Symptomatic annular pancreas in adult: report of two different presentations and treatments and review of the literature","volume":"20","author":"Rondelli","year":"2016","journal-title":"Int J Surg Case Rep"},{"key":"2024101514485719900_ref2","doi-asserted-by":"publisher","first-page":"290","DOI":"10.1016\/j.pan.2018.12.009","article-title":"Clinical spectrum of adult patients with annular pancreas: findings from a large single institution cohort","volume":"19","author":"Nagpal","year":"2019","journal-title":"Pancreatology"},{"key":"2024101514485719900_ref3","doi-asserted-by":"publisher","first-page":"455","DOI":"10.2214\/AJR.08.1596","article-title":"Annular pancreas in adults","volume":"193","author":"Sandrasegaran","year":"2009","journal-title":"Am J Roentgenol"},{"key":"2024101514485719900_ref4","doi-asserted-by":"publisher","first-page":"186","DOI":"10.1097\/MCG.0000000000001531","article-title":"The epidemiology of annular pancreas in the United States: a population-based study","volume":"56","author":"Alkhayyat","year":"2022","journal-title":"J Clin Gastroenterol"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/10\/rjae638\/59759341\/rjae638.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/10\/rjae638\/59759341\/rjae638.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,15]],"date-time":"2024-10-15T16:37:53Z","timestamp":1729010273000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjae638\/7822403"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,1]]},"references-count":4,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2024,10,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjae638","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,10]]},"published":{"date-parts":[[2024,10,1]]},"article-number":"rjae638"}}