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Localization and Laparoscopic Excision of Gastric Heterotopic Pancreas in a Child by Endoscopic SPOT(®) Tattooing

Heterotopic pancreas (HP) is defined as pancreatic tissue lacking vascular or anatomic connection with the normal pancreas. Surgical resection is often indicated for symptomatic gastric HP. However, intraoperative identification of gastric HP is often difficult during laparoscopic surgery. Herein, w...

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Autores principales: Liou, Yu-Jung, Weng, Shu-Chao, Chang, Paul Chia-Yu, Jiang, Chuen-Bin, Lee, Hung-Chang, Chan, Wai-Tao, Ho, Cheng-Yu, Wu, Pao-Shu, Yeung, Chun-Yan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9954732/
https://www.ncbi.nlm.nih.gov/pubmed/36832330
http://dx.doi.org/10.3390/children10020201
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author Liou, Yu-Jung
Weng, Shu-Chao
Chang, Paul Chia-Yu
Jiang, Chuen-Bin
Lee, Hung-Chang
Chan, Wai-Tao
Ho, Cheng-Yu
Wu, Pao-Shu
Yeung, Chun-Yan
author_facet Liou, Yu-Jung
Weng, Shu-Chao
Chang, Paul Chia-Yu
Jiang, Chuen-Bin
Lee, Hung-Chang
Chan, Wai-Tao
Ho, Cheng-Yu
Wu, Pao-Shu
Yeung, Chun-Yan
author_sort Liou, Yu-Jung
collection PubMed
description Heterotopic pancreas (HP) is defined as pancreatic tissue lacking vascular or anatomic connection with the normal pancreas. Surgical resection is often indicated for symptomatic gastric HP. However, intraoperative identification of gastric HP is often difficult during laparoscopic surgery. Herein, we describe a patient with gastric HP, which was marked with SPOT(®) dye (GI Supply, Camp Hill, PA, USA). The dye was seen clearly laparoscopically facilitating total excision of the lesion. The final pathology report confirmed the presence of heterotopic pancreatic tissue including pancreatic acini, small pancreatic ducts tissue with islets of Langerhans in the deep gastric submucosal area. There were no postoperative complications, and the patient was symptom-free. To the best of our knowledge, this was the first case report in the literature in which endoscopic tattooing of gastric HP before laparoscopic resection was performed. This method of localization was simple and reliable in children.
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spelling pubmed-99547322023-02-25 Localization and Laparoscopic Excision of Gastric Heterotopic Pancreas in a Child by Endoscopic SPOT(®) Tattooing Liou, Yu-Jung Weng, Shu-Chao Chang, Paul Chia-Yu Jiang, Chuen-Bin Lee, Hung-Chang Chan, Wai-Tao Ho, Cheng-Yu Wu, Pao-Shu Yeung, Chun-Yan Children (Basel) Case Report Heterotopic pancreas (HP) is defined as pancreatic tissue lacking vascular or anatomic connection with the normal pancreas. Surgical resection is often indicated for symptomatic gastric HP. However, intraoperative identification of gastric HP is often difficult during laparoscopic surgery. Herein, we describe a patient with gastric HP, which was marked with SPOT(®) dye (GI Supply, Camp Hill, PA, USA). The dye was seen clearly laparoscopically facilitating total excision of the lesion. The final pathology report confirmed the presence of heterotopic pancreatic tissue including pancreatic acini, small pancreatic ducts tissue with islets of Langerhans in the deep gastric submucosal area. There were no postoperative complications, and the patient was symptom-free. To the best of our knowledge, this was the first case report in the literature in which endoscopic tattooing of gastric HP before laparoscopic resection was performed. This method of localization was simple and reliable in children. MDPI 2023-01-22 /pmc/articles/PMC9954732/ /pubmed/36832330 http://dx.doi.org/10.3390/children10020201 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Liou, Yu-Jung
Weng, Shu-Chao
Chang, Paul Chia-Yu
Jiang, Chuen-Bin
Lee, Hung-Chang
Chan, Wai-Tao
Ho, Cheng-Yu
Wu, Pao-Shu
Yeung, Chun-Yan
Localization and Laparoscopic Excision of Gastric Heterotopic Pancreas in a Child by Endoscopic SPOT(®) Tattooing
title Localization and Laparoscopic Excision of Gastric Heterotopic Pancreas in a Child by Endoscopic SPOT(®) Tattooing
title_full Localization and Laparoscopic Excision of Gastric Heterotopic Pancreas in a Child by Endoscopic SPOT(®) Tattooing
title_fullStr Localization and Laparoscopic Excision of Gastric Heterotopic Pancreas in a Child by Endoscopic SPOT(®) Tattooing
title_full_unstemmed Localization and Laparoscopic Excision of Gastric Heterotopic Pancreas in a Child by Endoscopic SPOT(®) Tattooing
title_short Localization and Laparoscopic Excision of Gastric Heterotopic Pancreas in a Child by Endoscopic SPOT(®) Tattooing
title_sort localization and laparoscopic excision of gastric heterotopic pancreas in a child by endoscopic spot(®) tattooing
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9954732/
https://www.ncbi.nlm.nih.gov/pubmed/36832330
http://dx.doi.org/10.3390/children10020201
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