Endoscopy-Assisted Laparoscopic Resection of Gastric Heterotopic Pancreas

2008 ◽  
Vol 74 (9) ◽  
pp. 829-831
Author(s):  
Daniel J. Margolin
Keyword(s):  
Weight Loss ◽  
Laparoscopic Resection ◽  
Heterotopic Pancreas ◽  
White Female ◽  
Upper Endoscopy ◽  
Review Of The Literature ◽  
Submucosal Mass ◽  
Gastrointestinal Complaints ◽  
Gastric Heterotopic Pancreas ◽  
Upper Gastrointestinal

This is a case report of a 51-year-old white female who underwent an endoscopy-assisted laparoscopic resection of a submucosal mass in the prepyloric region of the stomach, which turned out to be heterotopic pancreas. She presented with vague upper gastrointestinal complaints of pain, early satiety, nausea, vomiting, and an 8 pound weight loss. Her only diagnostic workup was an upper endoscopy, which revealed this submucosal umbilicated mass. This manuscript provides a detailed description of the operation and a discussion and review of the literature about gastric heterotopic pancreas.

scholarly journals Clinical relevance of endoscopically identified extrinsic compression of the oesophagus and stomach

2019 ◽  
Vol 6 (1) ◽  
pp. e000310
Author(s):  
Kishore Kumar ◽  
Harish Patel ◽  
Shehriyar Mehershahi ◽  
Hassan Tariq ◽  
Mariela Glandt ◽  
...  
Keyword(s):  
Pancreatic Cancer ◽  
Weight Loss ◽  
Ct Scan ◽  
Malignant Lesion ◽  
Gastrointestinal Symptoms ◽  
Gastric Body ◽  
Upper Endoscopy ◽  
Abnormal Finding ◽  
Extrinsic Compression ◽  
Upper Gastrointestinal

BackgroundVarious degree of extrinsic compression of the oesophagus and stomach are experienced during upper endoscopy. However, its utility in clinical practice has not been studied.MethodsElectronic chart review of all upper gastrointestinal endoscopies done at our hospital between 2005 and 2016 was performed. A total of 79 patients with documented extrinsic compression on upper gastrointestinal procedure report who had a preceding or subsequent abdomen/chest CT imaging performed within 6 months were included.Results30 (38%) out of 79 patients had abnormal finding on CT scan. 14 (47%) out of 30 patients had an associated malignant lesion, whereas remaining had a benign lesion. Overall, patients with associated gastrointestinal symptoms (60% vs 22%, p=0.001) or history of weight loss (50% vs 16%, p=0.001) had increased odds of having an abnormal finding on CT scan compared with the patients who lacked such symptoms. Pancreatic cancer was the most commonly diagnosed malignancy. On subgroup analysis of patients with extrinsic compression and malignant lesion on imaging study, the likelihood of a malignancy was higher in blacks as compared with Hispanics (71%:29% vs 39%:61%, p=0.031), and with presence of gastrointestinal symptoms (64% vs 22%, p=0.003), presence of weight loss (64% vs 16%, p=0.0001) and hypoalbuminaemia (p=0.001).ConclusionFinding an extrinsic compression of the oesophagus and stomach on an upper endoscopy may suggest malignancy, and hence should prompt further work-up. Posterior wall gastric body compression may signal the presence of pancreatic cancer.

Adenocarcinoma arising in association with gastric heterotopic pancreas: A case report and review of the literature

2004 ◽  
Vol 87 (1) ◽  
pp. 53-57 ◽  
Author(s):  
Lyska Emerson ◽  
Lester J. Layfield ◽  
L. Ralph Rohr ◽  
Merril T. Dayton
Keyword(s):  
Case Report ◽  
Heterotopic Pancreas ◽  
Review Of The Literature ◽  
Gastric Heterotopic Pancreas

Gastric Heterotopic Pancreas with Hemorrhage

1956 ◽  
Vol 30 (2) ◽  
pp. 297-300 ◽  
Author(s):  
Robert L. Bradley ◽  
Michael M. Klein ◽  
Fritz Levy
Keyword(s):  
Heterotopic Pancreas ◽  
Gastric Heterotopic Pancreas

Premalignant and Malignant Lesions of the Heterotopic Pancreas in the Esophagus: a Case Report and Review of the Literature

2015 ◽  
Vol 24 (2) ◽  
pp. 235-239 ◽  
Author(s):  
Jan Ulrych ◽  
Vladimir Fryba ◽  
Helena Skalova ◽  
Zdenek Krska ◽  
Tomas Krechler ◽  
...  
Keyword(s):  
Case Report ◽  
Gastrointestinal Tract ◽  
Unusual Case ◽  
Accurate Diagnosis ◽  
Heterotopic Pancreas ◽  
Premalignant Lesions ◽  
Resected Specimen ◽  
Review Of The Literature ◽  
Severe Dysphagia ◽  
Malignant Lesions

Heterotopic pancreas is a congenital pathology of the gastrointestinal tract, particularly rare in the esophagus. Both symptomatology and findings during preoperative examinations are non-specific and therefore do not often lead to an accurate diagnosis, which is usually revealed only by histopathological assessment of a resected specimen. We report an unusual case of a patient suffering from severe dysphagia caused by heterotopic pancreas in the distal esophagus with chronic inflammation and foci of premalignant changes. This article also reviews 14 adult cases of heterotopic pancreas in the esophagus previously reported in the literature, with the aim of determining the clinical features of this disease and possible complications including rare premalignant lesions and malignant transformation. Especially with regard to those complications, we suggest that both symptomatic and incidentally found asymptomatic lesions should be resected.

Disentangling the obesity paradox in upper gastrointestinal cancers: Weight loss matters more than body mass index

2021 ◽  
Vol 72 ◽  
pp. 101912
Author(s):  
Shria Kumar ◽  
Nadim Mahmud ◽  
David S. Goldberg ◽  
Jashodeep Datta ◽  
David E. Kaplan
Keyword(s):  
Body Mass Index ◽  
Weight Loss ◽  
Body Mass ◽  
Obesity Paradox ◽  
Gastrointestinal Cancers ◽  
Upper Gastrointestinal

scholarly journals Extrusion of both Superficial and Deep Cuffs of a Functional Double-Cuff Peritoneal Dialysis Catheter after Significant Weight Loss

2021 ◽  
pp. 190-194
Author(s):  
Aravindh S. Ganapathy ◽  
Myron S. Powell ◽  
James L. Pirkle
Keyword(s):  
Weight Loss ◽  
Peritoneal Dialysis ◽  
Subcutaneous Tissue ◽  
Peritoneal Dialysis Catheter ◽  
Dialysis Catheter ◽  
Review Of The Literature ◽  
Significant Weight Loss ◽  
Exit Site ◽  
Special Circumstances ◽  
Uncommon Complication

Extrusion of the superficial cuff of a peritoneal dialysis (PD) catheter is an uncommon complication that may be associated with infection or malfunction. However, extrusion of both the superficial and deep cuffs of a double-cuff catheter is rare and uniformly associated with failure and peritonitis. We report a case of a presternal-type PD double-cuff catheter with extrusion of both cuffs through an abdominal exit site after 6 years of use that has remained functional, which has not been previously reported. In this case, the patient had achieved a 60-kg weight loss resulting in retraction of the subcutaneous tissue around both cuffs, while the catheter was held in place by the titanium connector between the presternal extension tubing and the inner, coiled catheter. In such special circumstances, extrusion of both cuffs may not necessitate urgent catheter removal. A review of the literature revealed previous cases of superficial cuff extrusions with catheters remaining functional but not with deep cuff extrusion.

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