Localization and Laparoscopic Excision of Gastric Heterotopic Pancreas in a Child by Endoscopic SPOT<sup>®</sup> Tattooing
Heterotopic pancreas (HP) is defined as pancreatic tissue lacking vascular or anatomic connection with the normal pancreas. Surgical resection is often indicated for symptomatic gastric HP. However, intraoperative identification of gastric HP is often difficult during laparoscopic surgery. Herein, w...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-01-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/10/2/201 |
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| author | Yu-Jung Liou Shu-Chao Weng Paul Chia-Yu Chang Chuen-Bin Jiang Hung-Chang Lee Wai-Tao Chan Cheng-Yu Ho Pao-Shu Wu Chun-Yan Yeung |
| author_facet | Yu-Jung Liou Shu-Chao Weng Paul Chia-Yu Chang Chuen-Bin Jiang Hung-Chang Lee Wai-Tao Chan Cheng-Yu Ho Pao-Shu Wu Chun-Yan Yeung |
| author_sort | Yu-Jung Liou |
| collection | DOAJ |
| description | Heterotopic pancreas (HP) is defined as pancreatic tissue lacking vascular or anatomic connection with the normal pancreas. Surgical resection is often indicated for symptomatic gastric HP. However, intraoperative identification of gastric HP is often difficult during laparoscopic surgery. Herein, we describe a patient with gastric HP, which was marked with SPOT<sup>®</sup> dye (GI Supply, Camp Hill, PA, USA). The dye was seen clearly laparoscopically facilitating total excision of the lesion. The final pathology report confirmed the presence of heterotopic pancreatic tissue including pancreatic acini, small pancreatic ducts tissue with islets of Langerhans in the deep gastric submucosal area. There were no postoperative complications, and the patient was symptom-free. To the best of our knowledge, this was the first case report in the literature in which endoscopic tattooing of gastric HP before laparoscopic resection was performed. This method of localization was simple and reliable in children. |
| first_indexed | 2024-03-11T09:00:26Z |
| format | Article |
| id | doaj.art-e9daa14fe11343549e5cdea5a36ebd20 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-11T09:00:26Z |
| publishDate | 2023-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-e9daa14fe11343549e5cdea5a36ebd202023-11-16T19:47:26ZengMDPI AGChildren2227-90672023-01-0110220110.3390/children10020201Localization and Laparoscopic Excision of Gastric Heterotopic Pancreas in a Child by Endoscopic SPOT<sup>®</sup> TattooingYu-Jung Liou0Shu-Chao Weng1Paul Chia-Yu Chang2Chuen-Bin Jiang3Hung-Chang Lee4Wai-Tao Chan5Cheng-Yu Ho6Pao-Shu Wu7Chun-Yan Yeung8Department of Pediatrics, Hsinchu Municipal MacKay Children’s Hospital, Hsinchu City 300046, TaiwanDepartment of Pediatrics, MacKay Children’s Hospital, Taipei 104217, TaiwanDivision of Pediatric Surgery, Department of Surgery, MacKay Memorial Hospital, Taipei 104217, TaiwanDepartment of Pediatrics, MacKay Children’s Hospital, Taipei 104217, TaiwanDepartment of Pediatrics, MacKay Children’s Hospital, Taipei 104217, TaiwanDepartment of Pediatrics, MacKay Children’s Hospital, Taipei 104217, TaiwanDepartment of Medicine, MacKay Medical College, New Taipei City 252005, TaiwanMacKay Junior College of Medicine, Nursing, and Management, Taipei 112021, TaiwanDepartment of Pediatrics, Hsinchu Municipal MacKay Children’s Hospital, Hsinchu City 300046, TaiwanHeterotopic pancreas (HP) is defined as pancreatic tissue lacking vascular or anatomic connection with the normal pancreas. Surgical resection is often indicated for symptomatic gastric HP. However, intraoperative identification of gastric HP is often difficult during laparoscopic surgery. Herein, we describe a patient with gastric HP, which was marked with SPOT<sup>®</sup> dye (GI Supply, Camp Hill, PA, USA). The dye was seen clearly laparoscopically facilitating total excision of the lesion. The final pathology report confirmed the presence of heterotopic pancreatic tissue including pancreatic acini, small pancreatic ducts tissue with islets of Langerhans in the deep gastric submucosal area. There were no postoperative complications, and the patient was symptom-free. To the best of our knowledge, this was the first case report in the literature in which endoscopic tattooing of gastric HP before laparoscopic resection was performed. This method of localization was simple and reliable in children.https://www.mdpi.com/2227-9067/10/2/201endoscopic tattooingchildrenheterotopic pancreaslaparoscopic surgery |
| spellingShingle | Yu-Jung Liou Shu-Chao Weng Paul Chia-Yu Chang Chuen-Bin Jiang Hung-Chang Lee Wai-Tao Chan Cheng-Yu Ho Pao-Shu Wu Chun-Yan Yeung Localization and Laparoscopic Excision of Gastric Heterotopic Pancreas in a Child by Endoscopic SPOT<sup>®</sup> Tattooing Children endoscopic tattooing children heterotopic pancreas laparoscopic surgery |
| title | Localization and Laparoscopic Excision of Gastric Heterotopic Pancreas in a Child by Endoscopic SPOT<sup>®</sup> Tattooing |
| title_full | Localization and Laparoscopic Excision of Gastric Heterotopic Pancreas in a Child by Endoscopic SPOT<sup>®</sup> Tattooing |
| title_fullStr | Localization and Laparoscopic Excision of Gastric Heterotopic Pancreas in a Child by Endoscopic SPOT<sup>®</sup> Tattooing |
| title_full_unstemmed | Localization and Laparoscopic Excision of Gastric Heterotopic Pancreas in a Child by Endoscopic SPOT<sup>®</sup> Tattooing |
| title_short | Localization and Laparoscopic Excision of Gastric Heterotopic Pancreas in a Child by Endoscopic SPOT<sup>®</sup> Tattooing |
| title_sort | localization and laparoscopic excision of gastric heterotopic pancreas in a child by endoscopic spot sup r sup tattooing |
| topic | endoscopic tattooing children heterotopic pancreas laparoscopic surgery |
| url | https://www.mdpi.com/2227-9067/10/2/201 |
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