Endoscopic and Endosonographic Features of Histologically Proven Gastric Ectopic Pancreas by Endoscopic Resection
| Autor: | Eunae Cho, Nah Ihm Kim, Sunmin Kim, Chang-Hwan Park, Hyun Soo Kim, Jae Hyun Yoon, Ho-Sung Lee, Sung Kyu Choi, Jong Sun Rew, Dong Hyun Kim, Seon-Young Park, Gwang Taek Kim |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Stomach Diseases lcsh:Medicine Endoscopic mucosal resection Choristoma accessory pancreas Endoscopy Gastrointestinal Young Adult 03 medical and health sciences 0302 clinical medicine endoscopic mucosal resection Pyloric Antrum medicine Humans Pancreas Antrum Aged Accessory pancreas medicine.diagnostic_test business.industry Esophagogastroduodenoscopy Stomach endosonography lcsh:R Echogenicity General Medicine Middle Aged medicine.disease Endoscopy 030220 oncology & carcinogenesis Ectopic pancreas Female 030211 gastroenterology & hepatology Radiology business Calcification |
| Zdroj: | The Korean Journal of Gastroenterology, Vol 76, Iss 1, Pp 9-16 (2020) |
| ISSN: | 2233-6869 1598-9992 |
| Popis: | Backgrounds/aims Distinguishing gastric ectopic pancreas (GEP) from malignant tumors is relatively difficult. This study evaluated the endosonography findings of pathologically proven GEP. Methods Thirty-one patients diagnosed with GEP based on a histopathological analysis from January 2004 to July 2018 were enrolled in this study. All patients underwent EUS and an endoscopic resection. Results Seventeen patients were female, and the median age was 41.1 years (range, 14-74). The lesions were localized most commonly in the antrum. The mean size of the GEP was 10.6 mm (range, 7-15). Superficial type lesions, lesions with heterogeneous echogenicity, mixed pattern lesions, and lesions with indistinct borders were commonly observed on EUS. Calcification, anechoic duct-like structures, and thickening of the muscularis propria were observed in some patients. Endoscopic mucosal resection (41.9%) and endoscopic submucosal dissection (58.1%) were performed. The mean procedure time was 22.5 minutes. Complete resection was achieved for 71% of patients. No statistically significant results between the endosonography findings and complete resection rates were obtained. The mean follow-up esophagogastroduodenoscopy duration was 4.5 months. None of the patients presented with residual lesions on subsequent endoscopy. Conclusions EUS can help identify the features of GEP. Careful observations of the EUS findings can avoid unnecessary removal of GEP. |
| Databáze: | OpenAIRE |
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