异位胰腺10例报告

Heterotopic pancreas

报告异位胰腺１０例。５例位于胃，２例位于十二指肠，１例在空肠，另２例为异位胰岛素瘤．本症临床表现取决于异位胰腺的部位、大小、性质及其成份的生理功能状态等相关。因为症状很不典型术前诊断较为困难．多由手术及病理切片证实。钡餐及胃镜检查加粘膜活检对诊断有意义。治疗以局部切除为宜，本组５例行胃大部切除，１例行十二指肠楔形切除，另１例行胰十二指肠切除，为术中未行冰冻切片误诊所致。１例行空肠段切除，另２例作异位胰岛素瘤局部切除．术后均痊愈出院。

Ten cases of heterotopic pancreas bed rePOrted. 5 located in the wall of the stomach and 2 within duodenum, 1, jejunum,the other 2, Beta islet cell tumors of heterotopic pancreas(insulimma). The symptoms and signs are depend upon the location, size and the physiological function of the content. It may divid into ulcerative, tumor, hemorrhage, obstructive,peritonitis and obscure type. the diagnosis always proved by laparotomy. Barium meal and gastroscopic mucosal biopsy are value for diagnosis. The treatment is local resection. 5 performed subtotal gastrectomy, 2 cases duodenal heterotopec pancreas 1, local wedge resection of the wall, l, pancreatoduodenectomy, resection of aloop of jejunum in 1 case 2insulimma local resected surgical result good.