Zusammenfassung
Das Auftreten von heterotopem Pankreasgewebe im gastroösophagealen Übergang ist eine sehr seltene Entität. Die exakte präoperative Diagnosefindung ist trotz aller zur Verfügung stehender diagnostischer Verfahren nur selten möglich. Wir berichten über den Fall eines submukösen Tumors des gastroösophagealen Übergangs, der durch Refluxbeschwerden symptomatisch wurde und erfolgreich mittels endoskopisch assistierter laparoskopischer Resektion entfernt werden konnte.
Abstract
The presence of heterotopic pancreatic tissue in the gastroesophageal junction is a very rare entity. An exact preoperative diagnosis is only rarely possible despite all available diagnostic procedures. We report on the case of a submocous tumor of the gastroesophageal junction which became symptomatic due to reflux problems and was successfully removed by endoscope-assisted laparoscopic resection.
Literatur
Klob I (1859) Pankreasanomalien. Z Ges Ärzte Wien 15:732
Hsia CY, Wu CW, Lui WY (1999) Heterotopic pancreas: a difficult diagnosis. J Clin Gastroenterol 28(2):144–147
De Friend DJ, Saa-Gandi FW, Humphrey CS, Foster DN (1991) Symptomatic pancreatic heterotopia treated by local excision. Gut 32(3):332–333
Nopajaroonsri C (1994) Mucus retention in heterotopic pancreas of the gastric antrum. A lesion mimicking mucinous carcinoma 1. Am J Surg Pathol 18(9):953–957
Lai EC, Tompkins RK (1986) Heterotopic pancreas. Review of a 26 year experience. Am J Surg 151(6):697–700
Brandimarte G, Tursi A (2000) Abdominal pain and hyperamylasaemia due to gastric pancreatic heterotopia: endoscopic diagnosis and treatment. Endoscopy 32(2):S10
Farrar WB, Scott M, O’Dwyer PJ (1990) Heterotopic pancreas. Ir J Med Sci 159(1):19–20
Emerson L, Layfield LJ, Rohr LR, Dayton MT (2004) Adenocarcinoma arising in association with gastric heterotopic pancreas: a case report and review of the literature 1. J Surg Oncol 87(1):53–57
Nakao T, Yanoh K, Itoh A (1980) Aberrant pancreas in Japan. Review of the literature and report of 12 surgical cases. Med J Osaka Univ 30(3–4):57–63
Shalaby M, Kochman ML, Lichtenstein GR (2002) Heterotopic pancreas presenting as dysphagia 1. Am J Gastroenterol 97(4):1046–1049
Monig SP, Selzner M, Raab M, Eidt S (1996) Heterotopic pancreas. A difficult diagnosis 2. Dig Dis Sci 41(6):1238–1240
Hackett TR, Memon MA, Fitzgibbons RJ Jr, Mixter CG (1997) Laparoscopic resection of heterotopic gastric pancreatic tissue 2. J Laparoendosc Adv Surg Tech A 7(5):307–312
Barbosa J deC, Dockerty MB, Waugh JM (1946) Pancreatic heterotopia. Surg Gynecol Obstet 82:527
Peiper HJ (1988) Pankreas anulare, heterotopes pankreas. In: Hollender LF, Peiper HJ (Hrsg) Pankreaschirurgie. Springer, Heidelberg Berlin New York, S 478–484
Mannen K, Tsunada S, Hara M et al (2009) Risk factors for complications of endoscopic submucosal dissection in gastric tumors: analysis of 478 lesions. J Gastroenterol (Epub ahead of print)
Interessenkonflikt
Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Garn, T., Hallenscheidt, T., Schumacher, B. et al. Tumor des ösophagokardialen Übergangs. Chirurg 82, 447–450 (2011). https://doi.org/10.1007/s00104-010-1986-3
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00104-010-1986-3