A modern view at the treatment of ectopic pancreas in the gastro-duodenal zone in children (a literature review)

Abstract

Introduction. Ectopic pancreas (EP) in children is a rare malformation. In the pediatric practice, it is rarely manifested with a pain syndrome. Although most ectopia cases are asymptomatic, some children have signs of the disease at an early age what may require a surgical intervention.Material. The researchers have analyzed domestic and foreign literature on the pancreatic ectopia in the gastro-duodenal zone which was published over the past 20 years and up to the present. The literature search with key words was done at such search engines as: Library, eLibrary, PubMed, Medline. The researchers analyzed the most important works published in the last century.Results. A review of 32 literature sources with data on epidemiology, classification, origin, diagnostics and treatment of ectopic pancreas in the gastro-duodenal zone is presented in the article. This paper specifically draws attention to a minimally invasive surgery for the radical correction of this congenital malformation.Conclusion. Surgical intervention is required for patients with a marked pain symptom after ineffective conservative treatment. The aim of surgery is to perform layered resection of the stomach wall in which the ectopic pancreatic tissue is located.