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Laparoscopic Duodenoduodenostomy: A Minimally Invasive technique for the Managment of Duodenal Obstruction Due to Annular Pancreas
Jennifer Salluzzo^*1, Stephanie G. Wood², Matthew O. Hubbard¹, Saber Ghiassi¹, Geoffrey S. Nadzam¹, Kurt E. Roberts¹, Walter E. Longo¹, Andrew J. Duffy ^1
1GI Surgery, Yale School of Medicine, New Haven, CT; ²Surgery, Yale-New Haven Hospital, New Haven, CT

We present the case of a 26 year old female referred to the surgical clinic by GI. She presented with post-prandial abdominal pain, nausea, and weightloss. She underwent UGI and abdominal MRI, and was diagnosed with complete annular pancreas causing chronic duodenal obstruction. She was taken to the OR for a bypass of the second portion of the duodenum via laparoscopic duodenoduodenostomy. Using three ports, the duodenum was mobilized. A two layer anastomosis was created between the first and third portions of the duodenum.
We performed a completion EGD and negative leak test. She was discharged on POD 1. Her weight has stabilized and her symptoms have improved since her procedure.

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