Retrospective Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Dec 27, 2023; 15(12): 2799-2808
Published online Dec 27, 2023. doi: 10.4240/wjgs.v15.i12.2799
Laparoscopic resection and endoscopic submucosal dissection for treating gastric ectopic pancreas
Hui-Da Zheng, Qiao-Yi Huang, Yun-Huang Hu, Kai Ye, Jian-Hua Xu
Hui-Da Zheng, Yun-Huang Hu, Kai Ye, Jian-Hua Xu, Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, Fujian Province, China
Qiao-Yi Huang, Department of Gynaecology and Obstetrics, The Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, Fujian Province, China
Co-corresponding authors: Kai Ye and Jian-Hua Xu.
Author contributions: Zheng HD made the concept and designed the present study; Zheng HD, Hu YH collected data and written the articles; Zheng HD, Huang QY prepared the original draft; Ye K and Xu JH supervised the work, provided expert insights and made critical revisions related to important intellectual content of the manuscript; all authors have read and approved the final manuscript. Ye K and Xu JH provided great help in our study process and provided important clinical advice, which made the study more clinical value and better service for clinical work; after the completion of the paper, the final review steps were carried out, and the format, grammar, pictures, tables and other aspects were revised to ensure the rigor and fluency of the study, and the unreasonable study content was critically revised, making an important contribution to ensuring the rationality and correctness of the study.
Supported by Fujian Province Science and Technology Innovation Joint Fund Project, No. 2021Y9029.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of The Second Affiliated Hospital of Fujian Medical University.
Informed consent statement: As the study used anonymous and pre-existing data, the requirement for the informed consent from patients was waived.
Conflict-of-interest statement: We have no financial relationships to disclose.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jian-Hua Xu, MD, Chief Physician, Dean, Research Dean, Surgeon, Surgical Oncologist, Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Fujian Medical University, No. 950 Donghai Street, Fengze District, Quanzhou 362000, Fujian Province, China. xjh630913@126.com
Received: September 18, 2023
Peer-review started: September 18, 2023
First decision: November 1, 2023
Revised: November 11, 2023
Accepted: November 26, 2023
Article in press: November 26, 2023
Published online: December 27, 2023
Processing time: 100 Days and 2.2 Hours
ARTICLE HIGHLIGHTS
Research background

Gastric ectopic pancreas (GEP) is a rare submucosal lesion that is usually difficult to diagnose histologically by biopsy, and endoscopic ultrasonography (EUS) has been used in the diagnosis of gastric submucosal tumors (SMTs). Surgical resection is the conventional standard strategy for the treatment of SMTs in the past, and endoscopic submucosal dissection (ESD) has become an important minimally invasive treatment technique. However, there is still a lack of studies on the two techniques for the treatment of GEP.

Research motivation

At present, most of the studies on GEP are limited to case reports, without large sample size reports, and its treatment has not been widely discussed.

Research objectives

The aim of this study was to describe the EUS features of GEP and to evaluate the value of laparoscopic resection (LR) vs ESD in the treatment of GEP.

Research methods

We retrospectively analyzed 49 patients with GEP who underwent lesion resection. The characteristics of EUS, clinical characteristics and the characteristics of the two treatment methods were analyzed.

Research results

Of the patients, 43 underwent ESD, and 6 underwent LR. GEP mostly originates from the submucosa, accompanied by umbilical depression, and often presents with abdominal pain as the first symptom. There was no significant difference in operative time, hospitalization time, hospitalization cost and time to resume eating between the two groups. LR was more prone to larger and deeper lesions, accompanied by more blood loss.

Research conclusions

GEP has significant characteristics under EUS. Both LR and ESD are good choices for the treatment of GEP.

Research perspectives

EUS can serve as a noninvasive technique for diagnosing GEP, and clinical doctors can choose ESD or LR based on the actual situation of the patient.