Heterotopic Pancreas Diagnosed by Endoscopic Ultrasonography and Endoscopic Injection of Ethanol to Make a Histologic Diagnosis

Teixeira, Cláudio Rolim; Haruma, Ken; Shimamoto, Takehiro; Tsuda, T; Okamoto, Shirou; Sumii, Koji; Kajiyama, Goro

doi:10.1097/00004836-199207000-00012

Cited by 8 publications

(3 citation statements)

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“…Nevertheless, Shalaby et al [18] reported a case of esophageal HP diagnosed with biopsies obtained with a jumbo forceps. Teixeira [19] has described the use of ethanol injection to create an artificial ulcer that then facilitated the removal of sufficient submucosal tissue to establish the diagnosis of HP. Goto et al [20] reported a case of esophageal HP diagnosed by EUS-guided FNA.…”

Section: Discussionmentioning

confidence: 99%

Ligation-assisted endoscopic mucosal resection of gastric heterotopic pancreas

Khashab¹,

Cummings²,

DeWitt³

2009

WJG

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Heterotopic pancreas is a congenital anomaly characterized by ectopic pancreatic tissue. Treatment of heterotopic pancreas may include expectant observation, endoscopic resection or surgery. The aim of this report was to describe the technique of ligation-assisted endoscopic mucosal resection (EMR) for resection of heterotopic pancreas of the stomach. Two patients (both female, mean age 32 years) were referred for management of gastric subepithelial tumors. Endoscopic ultrasound in both disclosed small hypoechoic masses in the mucosa and submucosa. Band ligation-assisted EMR was performed in both cases without complications. Pathology from the resected tumors revealed heterotopic pancreas arising from the submucosa. Margins were free of pancreatic tissue. Ligation-assisted EMR is technically feasible and may be considered for the endoscopic management of heterotopic pancreas.

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Section: Discussionmentioning

confidence: 99%

Ligation-assisted endoscopic mucosal resection of gastric heterotopic pancreas

Khashab¹,

Cummings²,

DeWitt³

2009

WJG

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“…Aus dem Ulkusgrund können dann Biopsien entnommen werden, ohne dass eine erhöhte Blutungsgefahr besteht oder das Biopsiegewebe durch den Alkohol zerstört wird. [27]. Abhängig von seiner Größe kann heterotopes Pankreasgewebe computertomographisch als tumuröse Raumforderung der Magenwand nachgewiesen werden (Abb.…”

Section: Symptomatik Und Diagnostikunclassified

Heterotopes Pankreasgewebe der Magenwand

Boehm

Moenig

Thul

et al. 2003

Chirurg

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Heterotopic pancreas is an uncommon cause of gastrointestinal complaints such as epigastric pain, nausea, vomiting, and upper gastrointestinal bleeding. Despite the development of modern diagnostic procedures, it is still difficult to differentiate heterotopic pancreatic tissue from other benign or malignant gastric tumors. Local excision of the gastric wall is regarded as the diagnostic and therapeutic procedure of choice. We present two cases and an overview of the literature.

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“…Due to the intramural location of the lesion, diagnosis by endoscopic guided biopsies may be difficult, even impossible, since obtained specimens commonly encompass only the normal overlying mucosa. To improve diagnostic accuracy, combined strip and bite biopsy, 7 tissue sampling following local endoscopic ethanol injection 8 as well as additional fine‐needle aspiration cytology 9 have been suggested.…”

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confidence: 99%