Clinical observation of endoscopic submucosal dissection for uppergastrointestinal ectopic pancreas (36 cases)
10.3969/j.issn.1007-1989.2016.02.019
- VernacularTitle:内镜黏膜剥离术治疗上消化道异位胰腺36例临床观察
- Author:
Ming WEN
;
Deyin PENG
;
Tingsheng LING
;
Xiaoping ZOU
- Keywords:
endoscopic submucosal dissection (ESD);
ectopic pancreas;
heterotopic pancreas;
diagnosis and treatment
- From:
China Journal of Endoscopy
2016;22(2):79-82
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the feasibility, efficacy, and safty of endoscopic submucosal dissection (ESD) in treatment of uppergastrointestinal ectopic pancreas. Methods 36 uppergastrointestinal ectopic pancreas were treated with ESD from January 1 2012 to November 30 2014. The definitive histological diagnosis of ectopic pancreas was made after the endoscopic treatment. We analyzed the operation method, dissected tissue, complication, retrospec-tively. Results 34 cases were located in stomach, the other 2 in duodenum. All cases underwent ESD, the mean op-erating time was 66 min. The mean dissected tissue diameter was 21 mm × 16 mm in the 36 cases. The curative re-section rate was 100.00 %. Bleeding rate of ESD was 2.77 %(1/36). Perferation rate of ESD was 2.77 %(1/36). 2 cases suffered from low grade fever. None need surgical intervention. Recurrence rate was 0.00%. Conclusions ESD is a minimally invasive technique that allows resection of whole lesions and provides precise histological information, which is particularly suitable for uppergastrointestinal ectopic pancreas.