Gastric outlet obstruction caused by heterotopic pancreas: A case report and a quick review

Jiang, Lixin; Jie, Xu; Wang, Xuewen; Zhou, Fan; Gao, Wei; Yang, Guohua; Lv, Zhongchuan; Zheng, Haitao

doi:10.3748/wjg.14.6757

Cited by 52 publications

(54 citation statements)

References 18 publications

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“…HP occurs in 2% of the general population and is more common in males than in females (9); however, the factors leading to the development of HPs remain unknown (10). The stomach is the most common location for HP, representing 25-38% of all cases.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic mucosal resection/endoscopic submucosal dissection for gastric heterotopic pancreas

Shi²,

Lq³

et al. 2013

Turk J Gastroenterol

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Section: Discussionmentioning

confidence: 99%

Endoscopic mucosal resection/endoscopic submucosal dissection for gastric heterotopic pancreas

Shi²,

Lq³

et al. 2013

Turk J Gastroenterol

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“…Jean-Schultz was the first to report that heterotopic pancreas is pancreatic tissue found outside the usual anatomical location of the pancreas [2] . It is a congenital abnormality.…”

Section: Discussionmentioning

confidence: 99%

“…There is no specific examination and diagnostic method at present, and it is difficult to diagnose this disease definitely before laparotomy [2,10,11] . Echogatstroscope, CT and gastroscopy can be helpful in diagnosis.…”

mentioning

confidence: 99%

Heterotopic pancreas in the gastrointestinal tract

Zhou¹,

Chen²,

Zheng³

et al. 2009

WJG

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Heterotopic pancreas is defined as pancreatic tissue found outside the usual anatomical location of the pancreas. It is often an incidental finding and can be found at different sites in the gastrointestinal tract. It may become clinically evident when complicated by pathological changes such as inflammation, bleeding, obstruction, and malignant transformation. In this report, a 60-year-old man with carcinoid syndrome caused by heterotopic pancreatic tissue in the duodenum is described, along with a 62-year-old man with abdominal pain caused by heterotopic pancreatic tissue in the gastric antrum. The difficulty of making an accurate diagnosis is highlighted. The patients remain healthy and symptom-free after follow-up of 1 year. Frozen sections may help in deciding the extent of resection intraoperatively. Although heterotopic pancreas is rare, it should be considered in the differential diagnosis of gastrointestinal stromal tumor.

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“…7 In recent studies, it has been reported to be in 0.6% to 13% of autopsies. 2,8 Although heterotopic pancreas can be found throughout the entire gastrointestinal tract, the most frequent sites are the organs near the pancreas such as the stomach (25%-60%), duodenum (30%), and jejunum (15%), because this entity has been thought to be due to a failure of the fusion in the 2 primitive pancreas. 7 Clinical symptoms caused by this entity are rather infrequent unless it is accompanied with size-up, bleeding, or concomitant pathologic changes.…”

Section: Discussionmentioning

confidence: 99%

Adenocarcinoma Arising From Heterotopic Pancreas in the Duodenum

Kinoshita¹,

Yamaguchi²,

Shimizu³

et al. 2013

International Surgery

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We present a rare case of adenocarcinoma arising from a heterotopic pancreas in the duodenum, and review the associated literature. A 62-year-old woman was admitted to our hospital, complaining of vomiting and epigastralgia. Imaging studies revealed advanced gastric cancer with a gastric outlet obstruction. Whipple's operation and resection of the regional lymph node were performed because of a direct invasion to the pancreas. Histopathologic examination of the resected specimen demonstrated the malignant transformation of a hetrotopic pancreas in the duodenum. At the 12-month follow-up, there was no recurrence of symptoms. The prognosis of adenocarcinoma arising from a heterotopic pancreas is not known. Further accumulation of cases and investigation of this entity are necessary.

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Gastric outlet obstruction caused by heterotopic pancreas: A case report and a quick review

Cited by 52 publications

References 18 publications

Endoscopic mucosal resection/endoscopic submucosal dissection for gastric heterotopic pancreas

Endoscopic mucosal resection/endoscopic submucosal dissection for gastric heterotopic pancreas

Heterotopic pancreas in the gastrointestinal tract

Adenocarcinoma Arising From Heterotopic Pancreas in the Duodenum

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