Management of gastric ectopic pancreas identified in preoperative evaluation of bariatric surgery – A case report
| Autor: | Antonio Gláucio de Sousa Nóbrega, Marcio Almeida de Sousa Jucá, Adriano Veras Oliveira, Bruno Gadelha Bezerra Silva, Paulo Marcos Lopes, André Átila Alencar Barros, José Walter Feitosa Gomes |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Sleeve gastrectomy Surgical strategy medicine.medical_treatment Heterotopic pancreas Case Report RYGB Roux-en-Y Gastric Bypass EUS Endoscopic Ultrasound Lesion GIST gastrointestinal stromal tumor 03 medical and health sciences 0302 clinical medicine Gastric Ectopic Pancreas Female patient medicine GEP Gastric Ectopic Pancreas UE Upper Endoscopy MB methylene blue business.industry Perioperative Surgery Laparoscopic sleeve gastrectomy medicine.anatomical_structure 030220 oncology & carcinogenesis Ectopic pancreas SG Sleeve Gastrectomy EP ectopic pancreas 030211 gastroenterology & hepatology Gastrectomy medicine.symptom Pancreas business Intraoperative Upper Endoscopy |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • The diagnosis of rare gastric lesions has become more frequent after the increase in bariatric surgery. • The preoperative evaluation for bariatric surgery showed two lesions suggestive of Gastric Ectopic Pancreas. • The previous identification of these lesions provides better surgical planning. • Intraoperative Upper Endoscopy was used to identify the location of these lesions. • Simultaneous laparoscopic resection of the lesions associated with Sleeve Gastrectomy was performed. Background The diagnosis of gastric lesions, such as the Ectopic Gastric Pancreas (GEP), has become more frequent after the increase in bariatric surgeries. The most frequently used surgical options are: Sleeve Gastrectomy (SG) and Roux-en-Y Gastric Bypass (RYGB). The scientific papers about GEP in Bariatric Surgery consisted of intraoperative findings, approach the lesion with gastrectomy and the need to change the initial surgical strategy of the Sleeve for others techniques which allow extended gastric resections. Presentation of case This is a report on a 21-year-old female patient with class 3 obesity whose preoperative evaluation showed two lesions suggestive of GEP. Simultaneous surgical video-laparoscopic treatment of lesions associated with SG aided by intraoperative Upper Endoscopy (UE) was performed with no perioperative complications. Conclusion It is possible to associate the treatment of rare gastric lesions with traditional surgery techniques for obesity. |
| Databáze: | OpenAIRE |
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