1.9K Reviews    |    4.7 Star Rating    |    20+ years of experience    |    72k+ Patients Treated

Top Annular Pancreas Specialist - Dr. Bharat Pothuri

Annular pancreas is a very unusual yet inborn defect that is characterized by an enclosure of pancreatic tissue round the duodenum leading to obstruction of digestions and pain. Houston, Dr. Bharat Pothuri of GastroDoxs provides an extensive program of imaging, customized diet, medications, and sepsis-minimal invasive procedures to heal the bowel and digestive processes and bring them back to life.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
Houston Methodist leading Medicine
HCA Houston Healthcare
Bharat Pothuri

About the Expert

Dr. Bharat Pothuri is a board-certified gastroenterologist and the founder of GastroDoxs. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Ordinary Differences and Perilous Promises.

  • Extraordinary growth of the pancreas in the womb.
  • Pancreatic malformations are found in the family history.
  • Oversized amniotic fluid in pregnancy.
  • Other genetic disorders such as Down syndrome.

Signs and Symptoms

  • He or she may experience recurrent or cramp like abdominal pain.
  • Nausea and vomiting, and following meals.
  • Early fullness or bloating
  • Low weight gain in infants or retarded growth.

Treatment of Annular pancreas with Dr. Bharat Pothuri.

Dr. Pothuri employs the step-by-step method:

Never been admitted to a psychiatric ward. No evident psychiatric diagnoses.

He takes your history of symptoms-particularly, as to the pains in the epigastric region, vomiting, and difficulty in feeding or digesting. He explores your stomach either concerning its tenderness or duodenal obstruction.

Blood Tests

We refer to the laboratory to exclude the diagnosis of pancreatitis or other causes of the abdominal pain by screening pancreatic enzymes (amylase, lipase), inflammatory parameters, and nutritional condition.

Imaging Studies

  • CT Scan or MRI / MRCP to reveal the pancreatic ring surrounding the duodenum and determine obstruction.
  • Endoscopic Ultrasound to have an ultra-fine image of pancreatic tissue and pancreatic structures.

Endoscopic Evaluation

Duodenal narrowing can also be evaluated through upper endoscopy (EGD) to assess the health of the mucosa.

Advanced Testing (if needed)

Genetic panels or motility studies can be used in exceptional instances to elucidate an intricate anatomy or related syndromes.

Bharat Pothuri
Treatment

Our Team also provides comprehensive care of annular pancreas.

1. Modifications in Lifestyle and Diet.

  • Consume small snacking meals to make food digest easily.
  • Fried, spicy or high fat foods are avoidable since they trigger the symptoms.
  • Keep hydrated and drink plenty of water; do not consume much soda and sweeteners.
  • Consult a nutritionist to have a customary diet plan.

2. Medications

  • Antihypertensives to relieve diarrhea and angina.
  • Pancreatic digestive pills.
  • As required pain relief drugs to alleviate pain in the body.

3. Minimum Invasive or Advanced Surgery.

  • Increase duodenum size to a narrowed duodenum.
  • Endoscopic ultrasound guided interventions on indication.
  • Rerouting food by laparoscopic bypass around the pancreatic ring.
1K

Patients Treated

Dr. Pothuri has treated more than 1K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

What is an annular pancreas?

An annular pancreas is a rare congenital disease in which pancreatic tissue exists as a circle around the duodenum and may obstruct or lead to digestive complications.

What are the symptoms of annular pancreas?

These symptoms include abdominal pain, bile vomiting, fullness and intolerance to feeding in infants and in adults, there is pain, nausea and pancreatitis.

What is the diagnosis of annular pancreas?

The imaging tests such as CT scan, MRI, or endoscopic ultrasound are often used to make the diagnosis; duodenal narrowing due to the pancreatic ring can be observed in an upper GI series.

Which types of therapy can be used in annular pancreatic?

Less severe cases are treated by changing the diet, and enzyme supplement; when the obstruction is severe or symptoms are recurrent, surgical bypass (e.g., duodenojejunostomy) becomes necessary.

Is surgery always required?

No. Surgery is only used when the patients have a symptomatic obstruction or repeat pancreatitis; otherwise, they might only require monitoring.

Is there any other complication of annular pancreas?

Yes. It may lead to chronic pancreatitis, peptic ulcers, or malabsorption in untreated condition; prompt treatment can be used to prevent such complications.

What is the long-term outlook?

Most patients can do well with proper treatment. Obstruction can be corrected by using surgical bypass and digestive performance can be managed by using enzyme therapy.

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