Ectopic pancreatic rest in the stomach

Diluka Pinto,Gayana Mahendra,Sumudu Kumarage

doi:10.4038/sljs.v38i3.8709

Diluka Pinto, Gayana Mahendra + Show 1 more

Open Access

https://doi.org/10.4038/sljs.v38i3.8709

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Abstract

The journal is the official publication of the College of Surgeons of Sri Lanka. Its mission is to reach the highest standard of scientific surgical practice by dissemination of high quality scientific information and to foster and promote the growth of scientific surgery in Sri Lanka and in the region. The Sri Lanka Journal of Surgery publishes peer-reviewed leading articles, review articles, scientific articles, perspectives and case reports in the field of surgery and broadly related surgical sciences The journal adheres to the publication ethics as portrayed by the Committee on Publication Ethics (COPE) and is a member of this organisation. It is listed as an ICMJE journal which follow its recommendations (ICMJE recommendations) on Conduct, Reporting, Editing and Publication of Scholarly Work in Medical Journals.

Highlights

Ectopic pancreas (EP) known as the heterotopic pancreas, aberrant pancreas or pancreatic rest is relatively a rare development anomaly
Upper GI endoscopy (UGIE) would classically reveal a subepithelial lesion (SEL) with normal overlying mucosa, which would at times demonstrate a central umbilication, denoting a pancreatic duct opening
Pathologic classification of EP was formed by Heinrich in 1909

Summary

Introduction

Ectopic pancreas (EP) known as the heterotopic pancreas, aberrant pancreas or pancreatic rest is relatively a rare development anomaly. It may present with dyspeptic symptoms and abdominal discomfort. EP is occasionally associated with gastric outlet obstruction, GIT bleeding, pancreatitis and rarely adenocarcinoma [2, 5]. Upper GI endoscopy (UGIE) would classically reveal a subepithelial lesion (SEL) with normal overlying mucosa, which would at times demonstrate a central umbilication, denoting a pancreatic duct opening. Punch biopsy at UGIE is generally nondiagnostic, yet endoscopic ultrasound (EUS) and guided fine needle aspiration biopsy (EUS-FNAB) or core biopsy may demonstrate EP preoperatively.

Results

Conclusion