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Endosonographic Features of Histologically Proven Gastric Ectopic Pancreas
Joint Authors
Cheng, Ken-Sheng
Ting, Chun-Fu
Lin, Yu-Ta
Huang, Wen-Hsin
Feng, Chun-Lung
Chou, Jen-Wei
Source
Gastroenterology Research and Practice
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-10-12
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Gastric ectopic pancreas is an uncommon developmental anomaly and its histological diagnosis is usually difficult by using a conventional biopsy forceps.
In the literature, most cases of gastric ectopic pancreas were usually diagnosed by gross pattern during endoscopic examination or features of endoscopic ultrasound.
In contrast, this disease was seldom diagnosed by histology in clinical practice.
Although the typical endoscopic ultrasonographic features of ectopic pancreas include heterogeneous echogenicity, indistinct borders, and a location within 2 or more layers, it can also exhibit hypoechoic homogeneous echogenicity and a distinct border within the fourth sonographic layer (muscularis propria) similar to the endoscopic ultrasonographic features of gastrointestinal stromal tumors.
In our study, we found that 53% of gastric ectopic pancreas originated within the fourth sonographic layer, demonstrating hypoechoic, homogeneous echogenicity, and distinct borders.
Therefore, recognizing endoscopic ultrasonographic features, combining with deep biopsy, endoscopic ultrasound-guided fine needle aspiration/core needle biopsy can prevent conducting unnecessary resection.
Surgical resection is the mainstay treatment for symptomatic gastric ectopic pancreas, but endoscopic resection using endoscopic mucosal resection or endoscopic submucosal dissection technique provides an alternative method of removing superficial-type and deep-type gastric ectopic pancreas.
American Psychological Association (APA)
Chou, Jen-Wei& Cheng, Ken-Sheng& Ting, Chun-Fu& Feng, Chun-Lung& Lin, Yu-Ta& Huang, Wen-Hsin. 2014. Endosonographic Features of Histologically Proven Gastric Ectopic Pancreas. Gastroenterology Research and Practice،Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-1035874
Modern Language Association (MLA)
Chou, Jen-Wei…[et al.]. Endosonographic Features of Histologically Proven Gastric Ectopic Pancreas. Gastroenterology Research and Practice No. 2014 (2014), pp.1-7.
https://search.emarefa.net/detail/BIM-1035874
American Medical Association (AMA)
Chou, Jen-Wei& Cheng, Ken-Sheng& Ting, Chun-Fu& Feng, Chun-Lung& Lin, Yu-Ta& Huang, Wen-Hsin. Endosonographic Features of Histologically Proven Gastric Ectopic Pancreas. Gastroenterology Research and Practice. 2014. Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-1035874
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1035874