| 摘要: |
| ［摘要］ 目的 分析异位胰腺的电子胃镜、超声胃镜、病理特点及临床诊治。方法 选取2014-04～2017-01确诊的42例异位胰腺患者，分析电子胃镜检查、超声胃镜检查、病理特点及临床诊治情况。结果 电子胃镜下诊断为异位胰腺11例(26.2%),黏膜下肿物29例（69.0%），间质瘤可能性大2例（4.8%）。超声胃镜下表现与病理符合率较高。异位胰腺以腺泡细胞为主超声胃镜表现为低回声符合率达92.3%，而以导管组织或脂肪细胞为主则表现为中高等回声病灶符合率为50.0%。病灶内部低回声为主伴局部高回声对应病理特征为大量腺泡细胞伴局灶导管组织或脂肪组织符合率为85.7%。内镜治疗后无并发症、无复发；未行治疗患者超声胃镜下无明显变化。结论 超声胃镜下表现与病理符合率较高，有助于异位胰腺的诊断。内镜治疗后无并发症、无复发，应积极与患者沟通后，对有需求患者可行内镜治疗。 |
| 关键词: 异位胰腺 胃镜 病理特点 临床诊治 |
| DOI：10.3969/j.issn.1674-3806.2018.04.15 |
| 分类号:R 657.5 |
| 基金项目: |
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| Gastroscopic and pathological features of gastric ectopic pancreas |
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WANG Jing, DANG Tong, MENG Xian-mei, et al.
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Department of Digestive diseases, the Second Hospital Affiliated to Baotou Medical College, Inner Mongolia Autonomous Region 014030, China
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| Abstract: |
| ［Abstract］ Objective To explore the diagnosis and treatment of electronic endoscopy, endoscopic ultrasonography(EUS), and pathological features in the patients with gastric ectopic pancreas(GEP).Methods The clinical data of 42 patients with GEP in our hospital from April 2014 to January 2017 were collected. The results of electronic endoscopy, EUS, pathological features, diagnosis and treatment were analyzed.Results The electronic gastroscope results showed 11 cases with ectopic pancreas(26.2%); 29 cases with submucosal tumor(69.0%), and 2 cases with stromal tumor(4.8%). The coincident rate between the result of EUS and that of pathological diagnosis was high. The coincidence rate of GEP to acinar cell-based EUS hypoechoic focus was 92.3%, while the catheter tissue or fat cells manifested in higher echo lesion rate was 50.0%. The coincidence rate of internal hypoechoic lesions mainly with local high echo corresponding to a large number of pathological features of acinar cells with focal vascular tissue or adipose tissue was 85.7%. No complications and recurrence occurred after the endoscopic therapy. There were no obvious changes in the ultrasonic gastroscope results in the untreated patients.Conclusion There is a higher coincidence rate of the diagnosis of EUS performance and pathological results. EUS conduces to the diagnosis of GEP. No complications and recurrence occurr after the endoscopic therapy. Endoscopic therapy can be performed on the needed patients after active communication with them. |
| Key words: Gastric ectopic pancreas（GEP） Gastroscopic Pathological features Clinical diagnosis and treatment |
