Ryu DY, Kim GH, Park DY, Lee BE, Cheong JH, Kim DU, Woo HY, Heo J, Song GA. Endoscopic removal of gastric ectopic pancreas: An initial experience with endoscopic submucosal dissection. World J Gastroenterol 2010; 16(36): 4589-4593 [PMID: 20857531 DOI: 10.3748/wjg.v16.i36.4589]
Corresponding Author of This Article
Gwang Ha Kim, MD, PhD, Department of Internal Medicine, Pusan National University School of Medicine and Medical Research Institute, Pusan National University Hospital, 1-10 Ami-dong, Seo-Gu, Busan 602-739, South Korea. doc0224@pusan.ac.kr
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World J Gastroenterol. Sep 28, 2010; 16(36): 4589-4593 Published online Sep 28, 2010. doi: 10.3748/wjg.v16.i36.4589
Endoscopic removal of gastric ectopic pancreas: An initial experience with endoscopic submucosal dissection
Dong Yup Ryu, Gwang Ha Kim, Do Youn Park, Bong Eun Lee, Jae Hoon Cheong, Dong Uk Kim, Hyun Young Woo, Jeong Heo, Geun Am Song
Dong Yup Ryu, Gwang Ha Kim, Bong Eun Lee, Jae Hoon Cheong, Dong Uk Kim, Hyun Young Woo, Jeong Heo, Geun Am Song, Department of Internal Medicine, Pusan National University School of Medicine and Medical Research Institute, Pusan National University Hospital, Busan 602-739, South Korea
Do Youn Park, Department of Pathology, Pusan National University School of Medicine, Busan 602-739, South Korea
Author contributions: Kim GH, Woo HY, Heo J and Song GA designed the research; Kim GH, Lee BE, Cheong JH and Kim DU performed the research; Park DY and Cheong JH analyzed the data; Ryu DY and Kim GH wrote the paper.
Supported by Pusan National University Research Grant for two years
Correspondence to: Gwang Ha Kim, MD, PhD, Department of Internal Medicine, Pusan National University School of Medicine and Medical Research Institute, Pusan National University Hospital, 1-10 Ami-dong, Seo-Gu, Busan 602-739, South Korea. doc0224@pusan.ac.kr
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Received: May 10, 2010 Revised: June 1, 2010 Accepted: June 8, 2010 Published online: September 28, 2010
Abstract
AIM: To evaluate the therapeutic usefulness and safety of endoscopic resection in patients with gastric ectopic pancreas.
METHODS: A total of eight patients with ectopic pancreas were included. All of them underwent endoscopic ultrasonography before endoscopic resection. Endoscopic resection was performed by two methods: endoscopic mucosal resection (EMR) by the injection-and-cut technique or endoscopic mucosal dissection (ESD).
RESULTS: We planned to perform EMR in all eight cases but EMR was successful in only four cases. In the other four cases, saline spread into surrounding normal tissues and the lesions became flattened, which made it impossible to remove them by EMR. In those four cases, we performed ESD and removed the lesions without any complications.
CONCLUSION: If conventional EMR is difficult to remove gastric ectopic pancreas, ESD is a feasible alternative method for successful removal.
