胃异位胰腺1例分析并文献复习

Analysis of a case of gastric heterotopic pancreas and literature review

胃异位胰腺常无特殊的临床症状,常于行胃镜检查时发现,由于病变多位于黏膜下层,胃镜病理活检难于确诊,临床确诊依赖于超声内镜及内镜下治疗后术后病理活检。随着消化内镜技术的发展,由于黏膜下剥离术能完整大块地切除病变组织,获得病理诊断,黏膜下剥离术成为胃异位胰腺有效且安全的诊治手段。

Gastric heterotopic pancreas often has no special clinical symptoms and is usually found in the gastroscopy. As the lesion is usually located in the submucosa, it is difficult to diagnose by gastroscopic biopsy. The clinical diagno- sis depends on ultrasound endoscopy and pathologic biopsy after endoscopic treatment. With the development of diges- tive endoscopy technology, submucosal dissection has become an effective and safe means of diagnosis and treatment of gastric heterotopic pancreas, since submucosal dissection can complete remove the lesions to obtain pathologic diagno- sis.