The observed enhancement of -production near the threshold in radiative decays of and -annihilations can be explained with final state interactions among the produced system, where the enhancement is essentially determined by elastic scattering amplitudes. We propose to use an effective theory for interactions in a $N\bar N$ system near its threshold. The effective theory is similar to the well-known one for interactions in a system but with distinctions. It is interesting to note that in the effective theory some corrections to scattering amplitudes at tree-level can systematically be summed into a simple form. These corrections are from rescattering processes. With these corrected amplitudes we are able to describe the enhancement near the threshold in radiative decays of and -annihilations, and the elastic scattering near the threshold.

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