Endoscopic submucosal dissection for gastric ectopic pancreas: a single-center experience

Abstract Background and objective Endoscopic submucosal dissection (ESD) is a minimal invasive technology and could allow “en bloc” resection for superficial gastric tumors. The aim of this study is to evaluate the safety and feasibility of ESD for gastric ectopic pancreas (EP). Methods A total of 9...

Full description

Bibliographic Details
Main Authors: Yangyang Zhou, Siran Zhou, Yang Shi, Shimeng Zheng, Bingrong Liu
Format: Article
Language:English
Published: BMC 2019-04-01
Series:World Journal of Surgical Oncology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12957-019-1612-x
_version_ 1818331143869562880
author Yangyang Zhou
Siran Zhou
Yang Shi
Shimeng Zheng
Bingrong Liu
author_facet Yangyang Zhou
Siran Zhou
Yang Shi
Shimeng Zheng
Bingrong Liu
author_sort Yangyang Zhou
collection DOAJ
description Abstract Background and objective Endoscopic submucosal dissection (ESD) is a minimal invasive technology and could allow “en bloc” resection for superficial gastric tumors. The aim of this study is to evaluate the safety and feasibility of ESD for gastric ectopic pancreas (EP). Methods A total of 93 patients diagnosed with ectopic pancreas who underwent ESD between January 2011 and June 2017 were enrolled. The demographic, clinical, and endoscopic data were collected and analyzed. Results The average maximal diameter of lesions was 1.01 (range 0.4–3.0) cm with mean age of patients which was 39.75 (range 15–66) years. Overall, all of procedures en bloc was successful. The median operative time was 76.87 (range 30–160) min. A total of 12 patients experienced complications. In seven patients, bleeding occurred during the operation and was treated using hot biopsy forceps or metal clip. Five cases suffered from pneumoperitoneum which was managed well. The mean length of postoperative hospital stay was 5.7 (range 2–17) days. There was no relapse in any cases during the follow-up. Conclusion ESD appears to be a safe and feasible approach for curative treatment in gastric ectopic pancreas. Larger studies are needed to identify the role and the outcomes of ESD in another center.
first_indexed 2024-12-13T13:15:10Z
format Article
id doaj.art-74e901caa64747cc877bc32f920dbe21
institution Directory Open Access Journal
issn 1477-7819
language English
last_indexed 2024-12-13T13:15:10Z
publishDate 2019-04-01
publisher BMC
record_format Article
series World Journal of Surgical Oncology
spelling doaj.art-74e901caa64747cc877bc32f920dbe212022-12-21T23:44:34ZengBMCWorld Journal of Surgical Oncology1477-78192019-04-011711610.1186/s12957-019-1612-xEndoscopic submucosal dissection for gastric ectopic pancreas: a single-center experienceYangyang Zhou0Siran Zhou1Yang Shi2Shimeng Zheng3Bingrong Liu4Department of Gastroenterology, The First Affiliated Hospital of Zhengzhou UniversityDepartment of Gastroenterology, The First Affiliated Hospital of Zhengzhou UniversityDepartment of Gastroenterology, The First Affiliated Hospital of Zhengzhou UniversityDepartment of Gastroenterology, The First Affiliated Hospital of Zhengzhou UniversityDepartment of Gastroenterology, The First Affiliated Hospital of Zhengzhou UniversityAbstract Background and objective Endoscopic submucosal dissection (ESD) is a minimal invasive technology and could allow “en bloc” resection for superficial gastric tumors. The aim of this study is to evaluate the safety and feasibility of ESD for gastric ectopic pancreas (EP). Methods A total of 93 patients diagnosed with ectopic pancreas who underwent ESD between January 2011 and June 2017 were enrolled. The demographic, clinical, and endoscopic data were collected and analyzed. Results The average maximal diameter of lesions was 1.01 (range 0.4–3.0) cm with mean age of patients which was 39.75 (range 15–66) years. Overall, all of procedures en bloc was successful. The median operative time was 76.87 (range 30–160) min. A total of 12 patients experienced complications. In seven patients, bleeding occurred during the operation and was treated using hot biopsy forceps or metal clip. Five cases suffered from pneumoperitoneum which was managed well. The mean length of postoperative hospital stay was 5.7 (range 2–17) days. There was no relapse in any cases during the follow-up. Conclusion ESD appears to be a safe and feasible approach for curative treatment in gastric ectopic pancreas. Larger studies are needed to identify the role and the outcomes of ESD in another center.http://link.springer.com/article/10.1186/s12957-019-1612-xESDEctopic pancreasGastricOutcomes
spellingShingle Yangyang Zhou
Siran Zhou
Yang Shi
Shimeng Zheng
Bingrong Liu
Endoscopic submucosal dissection for gastric ectopic pancreas: a single-center experience
World Journal of Surgical Oncology
ESD
Ectopic pancreas
Gastric
Outcomes
title Endoscopic submucosal dissection for gastric ectopic pancreas: a single-center experience
title_full Endoscopic submucosal dissection for gastric ectopic pancreas: a single-center experience
title_fullStr Endoscopic submucosal dissection for gastric ectopic pancreas: a single-center experience
title_full_unstemmed Endoscopic submucosal dissection for gastric ectopic pancreas: a single-center experience
title_short Endoscopic submucosal dissection for gastric ectopic pancreas: a single-center experience
title_sort endoscopic submucosal dissection for gastric ectopic pancreas a single center experience
topic ESD
Ectopic pancreas
Gastric
Outcomes
url http://link.springer.com/article/10.1186/s12957-019-1612-x
work_keys_str_mv AT yangyangzhou endoscopicsubmucosaldissectionforgastricectopicpancreasasinglecenterexperience
AT siranzhou endoscopicsubmucosaldissectionforgastricectopicpancreasasinglecenterexperience
AT yangshi endoscopicsubmucosaldissectionforgastricectopicpancreasasinglecenterexperience
AT shimengzheng endoscopicsubmucosaldissectionforgastricectopicpancreasasinglecenterexperience
AT bingrongliu endoscopicsubmucosaldissectionforgastricectopicpancreasasinglecenterexperience