How to treat heterotopic stomach and pancreas?

summary

Ectopic pancreas is located outside the pancreas, generally taking medicine is difficult to get good treatment, taking medicine is only to alleviate the disease, and there is no anatomical and vascular connection with normal pancreatic tissue isolated pancreatic tissue, belongs to a congenital dysplasia, mostly located in the upper gastrointestinal mucosa and submucosa, because of its atypical symptoms, prone to misdiagnosis. Next, I'd like to share with you how to treat heterotopic stomach and pancreas?. Hope to help you.

How to treat heterotopic stomach and pancreas?

First, with the gradual popularization of gastroscopy and endoscopic ultrasonography, the preoperative diagnosis rate of ectopic pancreas has been significantly improved, and the treatment method has changed from surgery to endoscopic treatment. Since 1999, gotoda et al. First used endoscopic submucosal dissection (ESD) to remove early gastrointestinal cancer, this technique has been widely used in the treatment of early gastrointestinal cancer, and gradually extended to the resection of submucosal tumor, and achieved good results.

Second: ectopic pancreas is a congenital malformation, also known as aberrant pancreas or accessory pancreas. It refers to the sporadic pancreatic tissue growing outside the pancreas itself without any anatomical or vascular relationship with normal pancreatic tissue. Its occurrence is related to abnormal embryonic development. Ectopic pancreas can occur in any organ, mainly in the stomach, duodenum and jejunum, a few can be seen in the liver, gallbladder, common bile duct, mesentery, omentum, lung mediastinum and other parts. Due to the limitation of examination method and the limitation of case collection, we found that ectopic pancreas was located in the stomach, and most of it was located in the gastric antrum, mainly in the greater curvature, anterior wall and posterior wall, which was consistent with the foreign literature.

Third: most patients with ectopic pancreas were found due to gastrointestinal symptoms such as abdominal pain, abdominal distension, acid reflux and heartburn, while some patients had no obvious clinical symptoms, which were more than those found by gastroscopy. Under endoscopy, most of the lesions were umbilicate, hemispherical or polypoid protrusions, with large differences in shape and size, ranging from several millimeters to several centimeters in diameter. Most of the typical lesions had umbilicate depressions in the center of the top, and some of them had parallel openings of catheters, which could secrete digestive enzymes, but this manifestation was not specific.

matters needing attention

If ectopic pancreas is occasionally found in other operations, and the patient has no symptoms caused by ectopic pancreas before operation, it should be removed at the same time as far as possible without affecting the original operation and it is not difficult to remove the ectopic pancreas. Frozen section should be made during operation. If there is canceration, the scope of resection should be expanded or radical operation should be performed.