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Management of gastric ectopic pancreas identified in preoperative evaluation of bariatric surgery – A case report

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...

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Detalles Bibliográficos
Autores principales: Gadelha Bezerra Silva, Bruno, Veras Oliveira, Adriano, Almeida de Sousa Jucá, Marcio, de Sousa Nóbrega, Antônio Gláucio, Lopes, Paulo Marcos, Feitosa Gomes, José Walter, Alencar Barros, André Átila
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7683285/
https://www.ncbi.nlm.nih.gov/pubmed/33217652
http://dx.doi.org/10.1016/j.ijscr.2020.10.104
Descripción
Sumario: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.