Heterotopic pancreas presenting as dysphagia

Shalaby, Marc; Kochman, Michael L.; Lichtenstein, Gary R.

doi:10.1016/s0002-9270(02)03983-7

Cited by 9 publications

(19 citation statements)

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“…A pancreatic rest refers to ectopic pancreatic tissue. It has a prevalence of 1–2% in autopsy studies 80 . Pancreatic rests are most often found in the gastric antrum; in 90% of cases they are found in stomach, duodenum, and proximal jejunum.…”

Section: Differential Diagnosis Of Semlmentioning

confidence: 99%

Subepithelial mass lesions in the upper gastrointestinal tract

Humphris

Jones

2008

J of Gastro and Hepatol

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The finding of a mass lesion in the upper gastrointestinal tract at endoscopy with apparent normal overlying mucosa is common. The differential diagnosis of such lesions is broad and includes those of intramural or extramural origin. Endoscopic ultrasound provides accurate imaging of subepithelial mass lesions and characterizes them according to size, echogenicity, and origin including the histologic layer if the lesion is intramural which narrows the differential diagnosis. Endoscopic ultrasound allows a guided tissue sample to be obtained for histologic confirmation which is especially important for hypoechoic lesions arising from the 3rd or 4th echogenic layers. The purpose of this article is to review the diagnosis of the more common subepithelial mass lesions with an emphasis on endoscopic ultrasound and the subsequent management or monitoring.

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Section: Differential Diagnosis Of Semlmentioning

confidence: 99%

Subepithelial mass lesions in the upper gastrointestinal tract

Humphris

Jones

2008

J of Gastro and Hepatol

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“…Weitere mögliche Komplikationen umfassen Ulzeration, Blutung, Lumenobstruktion bis hin zum Ileus, cholestatischer Ikterus oder Cholezystitis [1, 8,24]. Heterotopes Gewebe im Ösophagus ist selten und kann ebenfalls obstruierende Symptome wie Dysphagie oder Regurgitation verursachen [29].…”

Section: Symptome Und Morbiditätunclassified

“…Armstrong schrieb, dass symptomatische Läsionen in der Regel größer als 1,5 cm sind und sich in der Mukosa oder in Berührung mit der Mukosa befinden [2]. Heterotopien im Magen oder Duodenum werden häufiger symptomatisch als die aboraler gelegenen [29].…”

Section: Symptome Und Morbiditätunclassified

“…Minamoto et al schrieben, dass tubuläre oder zirkuläre echoarme Strukturen das Vorliegen einer PH vermuten lassen sollten [21]. Solche Darstellungen werden allerdings auch bei Karzinoiden, eosinophilen Granulomen, Myoblastomen oder bei malignen Tumoren gesehen [29]. Die radiologischen und endoskopischen Untersuchungen im klinischen Alltag sind nur selten wegweisend, so dass zur Sicherung der Diagnose PH deshalb Biopsien notwendig sind.…”

Section: Diagnostikunclassified

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Pankreasheterotopie als seltene Differenzialdiagnose eines größenprogredienten Magentumors

Junghans

Böttger²,

Gellert³

2006

Zentralbl Chir

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A 39 years old woman was noted to have a submucosal gastric tumor during gastroscopy for cholecystectomy. She was asymptomatic regarding this tumor. The patient was primarily observed, but the tumor size increased. The lesion was biopsied with a negative result. A local excision with simultaneous endoscopy was done laparoscopically. Malignancy was excluded by immediate sectioning. Histological examination revealed pancreatic heterotopy Type I by Heinrichs- with exocrine and endocrine cells. The patient had an uneventful postoperative course. Eight months after resection the patient was free from recurrence and symptoms.

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“…The observed heterotopic pancreatic tissue and the elongated, redundant duodenum in our patient broaden the variable UGI manifestations of the disorder. Heterotopic pancreatic tissue (or pancreatic rest) has been found to be present in 0.55–13.7% in autopsy specimens, but it is rare to cause gastrointestinal symptoms [Shalaby et al, 2002]. The etiology of this patient's recurrent emesis remains unclear.…”

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confidence: 99%