Endoscopic removal of gastric ectopic pancreas: An initial experience with endoscopic submucosal dissection

被引：33
作者：
Ryu, Dong Yup [1 ,2 ]
Kim, Gwang Ha [1 ,2 ]
Park, Do Youn [3 ]
Lee, Bong Eun [1 ,2 ]
Cheong, Jae Hoon [1 ,2 ]
Kim, Dong Uk [1 ,2 ]
Woo, Hyun Young [1 ,2 ]
Heo, Jeong [1 ,2 ]
Song, Geun Am [1 ,2 ]
机构：
[1] Pusan Natl Univ, Sch Med, Dept Internal Med, Pusan 602739, South Korea
[2] Pusan Natl Univ Hosp, Med Res Inst, Pusan 602739, South Korea
[3] Pusan Natl Univ, Sch Med, Dept Pathol, Pusan 602739, South Korea
来源：
WORLD JOURNAL OF GASTROENTEROLOGY | 2010年 / 16卷 / 36期
关键词：
Ectopic pancreas; Endoscopic resection; Endoscopic ultrasonography; HETEROTOPIC PANCREAS; GASTROINTESTINAL-TRACT; ABERRANT PANCREAS; MUCOSAL RESECTION; DIAGNOSIS; STOMACH; LESIONS; BIOPSY; TUMORS; ULTRASONOGRAPHY;
D O I：
10.3748/wjg.v16.i36.4589
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
AIM: To evaluate the therapeutic usefulness and safety of endoscopic resection in patients with gastric ectopic pancreas. METHODS: A total of eight patients with ectopic pancreas were included. All of them underwent endoscopic ultrasonography before endoscopic resection. Endoscopic resection was performed by two methods: endoscopic mucosal resection (EMR) by the injection-and-cut technique or endoscopic mucosal dissection (ESD). RESULTS: We planned to perform EMR in all eight cases but EMR was successful in only four cases. In the other four cases, saline spread into surrounding normal tissues and the lesions became flattened, which made it impossible to remove them by EMR. In those four cases, we performed ESD and removed the lesions without any complications. CONCLUSION: If conventional EMR is difficult to remove gastric ectopic pancreas, ESD is a feasible alternative method for successful removal. (C) 2010 Baishideng. All rights reserved.
引用
收藏
页码：4589 / 4593
页数：5
相关论文
共 18 条
  • [1] Impact of endoscopic ultrasound for evaluation of submucosal lesions in gastrointestinal tract
    Brand, B
    Oesterhelweg, L
    Binmoeller, KF
    Sriram, PVJ
    Bohnacker, S
    Seewald, S
    De Weerth, A
    Soehendra, N
    [J]. DIGESTIVE AND LIVER DISEASE, 2002, 34 (04) : 290 - 297
  • [2] BURKE GW, 1989, AM J GASTROENTEROL, V84, P52
  • [3] Yield of tissue sampling for subepithelial lesions evaluated by EUS: a comparison between forceps biopsies and endoscopic submucosal resection
    Cantor, MJ
    Davila, RE
    Faigel, DO
    [J]. GASTROINTESTINAL ENDOSCOPY, 2006, 64 (01) : 29 - 34
  • [4] Clinical analysis of ectopic pancreas with endoscopic ultrasonography: An experience in a medical center
    Chen, Sheng-Hung
    Huang, Wen-Hsin
    Feng, Chun-Lung
    Chou, Jen-Wei
    Hsu, Chung-Hu
    Peng, Cheng-Yuan
    Yang, Mei-Due
    [J]. JOURNAL OF GASTROINTESTINAL SURGERY, 2008, 12 (05) : 877 - 881
  • [5] AN UNUSUAL CASE OF HETEROTOPIC PANCREAS OF THE STOMACH
    DEBORD, JR
    MAJARAKIS, JD
    NYHUS, LM
    [J]. AMERICAN JOURNAL OF SURGERY, 1981, 141 (02) : 269 - 273
  • [6] Cap-assisted endoscopic submucosal resection of a pancreatic rest
    Faigel, DO
    Gopal, D
    Weeks, DA
    Corless, C
    [J]. GASTROINTESTINAL ENDOSCOPY, 2001, 54 (06) : 782 - 784
  • [7] ENDOSCOPIC AND HISTOLOGIC DIAGNOSIS OF SUBMUCOSAL TUMORS OF THE GASTROINTESTINAL-TRACT USING COMBINED STRIP BIOPSY AND BITE BIOPSY
    KARITA, M
    TADA, M
    [J]. GASTROINTESTINAL ENDOSCOPY, 1994, 40 (06) : 749 - 753
  • [8] Ligation-assisted endoscopic mucosal resection of gastric heterotopic pancreas
    Khashab, Mouen A.
    Cummings, Oscar W.
    DeWitt, John M.
    [J]. WORLD JOURNAL OF GASTROENTEROLOGY, 2009, 15 (22) : 2805 - 2808
  • [9] Kim Myung Sook, 2008, Algae, V23, P301
  • [10] Diagnosis of submucosal tumor of the upper GI tract by endoscopic resection
    Kojima, T
    Takahashi, H
    Parra-Blanco, A
    Kohsen, K
    Fujita, R
    [J]. GASTROINTESTINAL ENDOSCOPY, 1999, 50 (04) : 516 - 522
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