Endoscopic removal of gastric ectopic pancreas for histologic diagnosis and treatment

Colonoscopy adenoma detection rates: Room for cognitive load theory?

“…4 Therefore, leaving transmural stents in place indefinitely has been suggested as one strategy for preventing recurrence in patients with complete PD disruption. 5 Moreover, transpapillary drainage is more effective when the disruption is bridged by endoprosthesis, 6 and in this study bridging stents were placed in only 36.2% of patients.…”

“…Most patients with ectopic pancreas are asymptomatic, but nonspecific GI symptoms associated with pancreatitis, cyst formation, jaundice, abscess formation, gastric outlet obstruction, or malignant change have been described. [3][4][5][6] When symptomatic lesions were not resected, the patient's symptoms were unchanged. 5,7 Therefore, symptomatic lesions should be resected.…”

“…[3][4][5][6] When symptomatic lesions were not resected, the patient's symptoms were unchanged. 5,7 Therefore, symptomatic lesions should be resected. 2,[4][5][6]8 Although Gong et al 1 performed ESD of the lesion, we believe that residual ectopic pancreas tissue would be present in the muscularis propria.…”

Adenomyoma of the stomach presenting as localized peritonitis

“…In terms of tumor location in the gastric wall, EUS may provide the most useful information. Presence in the submucosa separate from the muscularis propria allows endoscopic excision of adenomyoma, which would then represent the treatment of choice [20].…”

Heterotopic pancreas presenting as gastric submucosal cyst on endoscopic sonography

“…Routine endoscopic biopsy was nondiagnostic because the lesion was situated underneath the mucosa. Matsushita et al 21 suggested endoscopic excisional biopsy for a precise histological diagnosis of heterotopic pancreas. We believe this is not suitable in heterotopic pancreas with cyst formation, because the intense inflammation may prevent complete endoscopic resection; furthermore, the possibility of malignant transformation is remote.…”