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Endoscopic submucosal dissection of gastric ectopic pancreas

Patients with gastric tumors usually present with symptoms of discomfort or pain in the epigastrium, regurgitations, nausea, vomiting or melena. Treatment options include open and laparoscopic total or partial gastrectomy and recently endoscopic mucosal resection. A case of successful endoscopic sub...

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Autores principales: Makarewicz, Wojciech, Bobowicz, Maciej, Dubowik, Michal, Kosinski, Adam, Jastrzebski, Tomasz, Jaskiewicz, Janusz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3796718/
https://www.ncbi.nlm.nih.gov/pubmed/24130642
http://dx.doi.org/10.5114/wiitm.2011.33709
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author Makarewicz, Wojciech
Bobowicz, Maciej
Dubowik, Michal
Kosinski, Adam
Jastrzebski, Tomasz
Jaskiewicz, Janusz
author_facet Makarewicz, Wojciech
Bobowicz, Maciej
Dubowik, Michal
Kosinski, Adam
Jastrzebski, Tomasz
Jaskiewicz, Janusz
author_sort Makarewicz, Wojciech
collection PubMed
description Patients with gastric tumors usually present with symptoms of discomfort or pain in the epigastrium, regurgitations, nausea, vomiting or melena. Treatment options include open and laparoscopic total or partial gastrectomy and recently endoscopic mucosal resection. A case of successful endoscopic submucosal dissection is described with the unusual pathological finding of heterotopic pancreatic tissue forming a gastric tumor. The 67-year-old male patient was operated on due to the initial diagnosis of gastro-intestinal stromal tumor of the gastric trunk. Two intra-operative biopsies were negative for cancer cells. Submucosal endoscopic dissection was performed with IT and Hook knives (Olympus). A literature review was performed. The operative time was 180 min with hospital stay of 6 days. During the injection of the carmine dye and the air insufflation pneumoperitoneum occurred and remained clinically silent during the observation period. The pathology result showed a heterotopic pancreatic tissue type 2 according to Heinrich's classification with microfoci of intestinal metaplasia. Preoperative diagnostics of gastric masses might be misleading and such tumors not necessarily should be excised. There are several surgical options with endoscopic submucosal dissection being probably the safest one and a non-disabling approach. Patients tolerate that kind of surgery well with good postoperative functional outcomes.
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spelling pubmed-37967182013-10-15 Endoscopic submucosal dissection of gastric ectopic pancreas Makarewicz, Wojciech Bobowicz, Maciej Dubowik, Michal Kosinski, Adam Jastrzebski, Tomasz Jaskiewicz, Janusz Wideochir Inne Tech Maloinwazyjne Case Report Patients with gastric tumors usually present with symptoms of discomfort or pain in the epigastrium, regurgitations, nausea, vomiting or melena. Treatment options include open and laparoscopic total or partial gastrectomy and recently endoscopic mucosal resection. A case of successful endoscopic submucosal dissection is described with the unusual pathological finding of heterotopic pancreatic tissue forming a gastric tumor. The 67-year-old male patient was operated on due to the initial diagnosis of gastro-intestinal stromal tumor of the gastric trunk. Two intra-operative biopsies were negative for cancer cells. Submucosal endoscopic dissection was performed with IT and Hook knives (Olympus). A literature review was performed. The operative time was 180 min with hospital stay of 6 days. During the injection of the carmine dye and the air insufflation pneumoperitoneum occurred and remained clinically silent during the observation period. The pathology result showed a heterotopic pancreatic tissue type 2 according to Heinrich's classification with microfoci of intestinal metaplasia. Preoperative diagnostics of gastric masses might be misleading and such tumors not necessarily should be excised. There are several surgical options with endoscopic submucosal dissection being probably the safest one and a non-disabling approach. Patients tolerate that kind of surgery well with good postoperative functional outcomes. Termedia Publishing House 2013-03-05 2013-09 /pmc/articles/PMC3796718/ /pubmed/24130642 http://dx.doi.org/10.5114/wiitm.2011.33709 Text en Copyright © 2013 Sekcja Wideochirurgii TChP http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 3.0 Unported License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Makarewicz, Wojciech
Bobowicz, Maciej
Dubowik, Michal
Kosinski, Adam
Jastrzebski, Tomasz
Jaskiewicz, Janusz
Endoscopic submucosal dissection of gastric ectopic pancreas
title Endoscopic submucosal dissection of gastric ectopic pancreas
title_full Endoscopic submucosal dissection of gastric ectopic pancreas
title_fullStr Endoscopic submucosal dissection of gastric ectopic pancreas
title_full_unstemmed Endoscopic submucosal dissection of gastric ectopic pancreas
title_short Endoscopic submucosal dissection of gastric ectopic pancreas
title_sort endoscopic submucosal dissection of gastric ectopic pancreas
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3796718/
https://www.ncbi.nlm.nih.gov/pubmed/24130642
http://dx.doi.org/10.5114/wiitm.2011.33709
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