Analysis on endoscopic submucosal dissection and submucosal tunneling endoscopic resection for gastric ectopic pancreas
10.3760/cma.j.issn.1673-4904.2014.35.010
- VernacularTitle:胃异位胰腺患者应用内镜黏膜下剥离术和内镜黏膜下隧道剥离术的诊治分析
- Author:
Qiong WANG
;
Xiaozhong YANG
;
Weijie DAI
- Publication Type:Journal Article
- Keywords:
Ectopic pancreas;
Endoscopic submucosal dissection;
Submucosal tunneling endoscopic resection
- From:
Chinese Journal of Postgraduates of Medicine
2014;37(35):29-31
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the value of endoscopic submucosal dissection (ESD) and submucosal tunneling endoscopic resection (STER) for the diagnosis and therapy of gastric ectopic pancreas.Methods A total of 86 patients who were suspicion diagnose with gastric ectopic pancreas received ESD or STER in hospital,and the therapeutic effect and safety were followed-up.Results Fifty-four gastric ectopic pancreas patients were definitely diagnosed by postoperative pathology.Of the 54 patients,43 cases were located at the gastric antrum,7 cases were located at gastric fundus and gastric corpus juncture,4 cases were located at gastric corpus.Forty-five cases received ESD,9 cases received STER,rate of completely resection was 88.9％ (48/54),6 cases had a little tissue residual after resection.One case (1.9％,1/54) happened postoperative delay-bleeding,intraoperative and postoperative perforation was not found.During 1-32 months followed up,recurrence was not found.Conclusion ESD could excise the whole lesion to offer an accurate pathology diagnose,meanwhile good for treatment,ESD is an effective and relatively safe method for gastric ectopic pancreas,STER may be a new approach for gastric ectopic pancreas.
