Endoscopic submucosal dissection of gastric ectopic pancreas

Wojciech Makarewicz; Maciej Bobowicz; Michal Dubowik; Adam Kosinski; Tomasz Jastrzebski; Janusz Jaskiewicz

doi:10.5114/wiitm.2011.33709

!!!NEW!!! CLINICAL FORUM !!!NEW!!!
to make the quarterly livelier and more beneficial for doctors and scientists !!!

On June the 1st, 2021 VSJ launches a new discussion platform in the journal.

We invite all MIS surgeons to rapidly submit for publication:
- small forms describing unusual clinical situations related to their practice,
- short clinical comments relating to any publications in VSJ, including the clinical situations described above
- brief communications of original studies deserving fast publication
- your personal opinions as part of a larger discussion on the VSJ publication
- letters concerning the topics described above

Clinical Forum gives you a means of rapid presentation of your findings in the medical databases, scientific citations on the international forum, and also an Impact Factor!

For further details, see: Instructions for Authors

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Subscription Contact Instructions for authors Ethical standards and procedures

Editorial System

Submit your Manuscript

Editorial Policies

Sarajevo Declaration on Integrity and Visibility of Scholarly Publications

3/2013
vol. 8

Send email

Copy url:

abstract:

Case report

Endoscopic submucosal dissection of gastric ectopic pancreas

Wojciech Makarewicz

,

Maciej Bobowicz

,

Michal Dubowik

,

Adam Kosinski

,

Tomasz Jastrzebski

,

Janusz Jaskiewicz

Videosurgery Miniinv 2013; 8 (3): 249–252

DOI: https://doi.org/10.5114/wiitm.2011.33709

Online publish date: 2013/03/05

View full text Get citation

PlumX metrics:

Patients with gastric tumors usually present with symptoms of discomfort or pain in the epigastrium, regurgitations, nausea, vomiting or melena. Treatment options include open and laparoscopic total or partial gastrectomy and recently endoscopic mucosal resection. A case of successful endoscopic submucosal dissection is described with the unusual pathological finding of heterotopic pancreatic tissue forming a gastric tumor. The 67-year-old male patient was operated on due to the initial diagnosis of gastro-intestinal stromal tumor of the gastric trunk. Two intra-operative biopsies were negative for cancer cells. Submucosal endoscopic dissection was performed with IT and Hook knives (Olympus). A literature review was performed. The operative time was 180 min with hospital stay of 6 days. During the injection of the carmine dye and the air insufflation pneumoperitoneum occurred and remained clinically silent during the observation period. The pathology result showed a heterotopic pancreatic tissue type 2 according to Heinrich’s classification with microfoci of intestinal metaplasia. Preoperative diagnostics of gastric masses might be misleading and such tumors not necessarily should be excised. There are several surgical options with endoscopic submucosal dissection being probably the safest one and a non-disabling approach. Patients tolerate that kind of surgery well with good postoperative functional outcomes.

keywords:

Endoscopic submucosal dissection of gastric ectopic pancreas

Wojciech Makarewicz , Maciej Bobowicz , Michal Dubowik , Adam Kosinski , Tomasz Jastrzebski , Janusz Jaskiewicz

endoscopic submucosal dissection, heterotopic pancreas, ectopic pancreas, stomach

Wojciech Makarewicz

,

Maciej Bobowicz

,

Michal Dubowik

,

Adam Kosinski

,

Tomasz Jastrzebski

,

Janusz Jaskiewicz