摘要
目的探讨胃异位胰腺内镜特征,提高内镜诊断率。方法总结近6年来经电子胃镜结合超声内镜(EndoscopicUltrasonography,EUS)及病理确诊的12例胃异位胰腺的临床资料。结果胃异位胰腺无特异临床症状,好发于胃窦,多见于大弯侧。胃镜下异位胰腺多为隆起性病变,表面黏膜光滑,形态及大小差异很大,顶端可见导管开口,多单个;超声内镜可见黏膜下层或肌层低回声、等回声或混合回声团。结论内镜检查是诊断胃异位胰腺的有效方法,并可进一步选择相应的治疗措施。
[Objective] To explore the endoscopic feature of gastric heterotopic pancreas in order to improve diagnostic level. [Methods] 12 cases of gastric heterotopic pancreas confirmed by gastroendoscopic, EUS and pathology in recent 6 years were retrospectively studied. [Results] There was no special clinical symptoms of gastric heterotopic pancreas. It usually oeeured in pylorus, usually in greater curvature. Most heterotopie pancreas cases were represented by protuberant lesion and varied greatly in morphology, the mucous membrane in surface was velvet. There could have duets opening on the top of the protuberant lesion, usually single; Under EUS, there coule be found low, approximative and mixed echoes in the mucous membrane substrate. [Conclusions] Endoscopic and EUS are effective approach for diagnosis of heterotopie pancreas and the corresponding treatment can be chose.
出处
《中国内镜杂志》
CSCD
北大核心
2007年第1期63-64,67,共3页
China Journal of Endoscopy
关键词
异位胰腺
胃镜
超声内镜
heterotopic pancreas
gastroendoseope
endoscopic ultrasonography
