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- Ectopic Pancreas with Gastric Outlet Obstruction: Report of Two Cases and Literature Review
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題 名 | Ectopic Pancreas with Gastric Outlet Obstruction: Report of Two Cases and Literature Review=異位性胰臟併胃出口阻塞--二例報告及文獻回顧 |
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作 者 | 黃永鎮; 陳漢明; 詹益銀; 黃燦龍; 陳敏夫; | 書刊名 | 長庚醫學 |
卷 期 | 25:7 2002.07[民91.07] |
頁 次 | 頁485-490 |
分類號 | 416.248 |
關鍵詞 | 異位性胰臟; 胃出口阻塞; Ectopic pancreas; Gastric outlet obstruction; |
語 文 | 英文(English) |
中文摘要 | 異位性胰臟的定義是在正常胰臟外的胰臟組織與胰臟不相連接,擁有自己的胰臟組織,胰管系統及血流供應。性胰臟在臨床上並常見,通常是在開手術或解剖時意外發現。最常出現的地方是胃部,約佔所有異位胰臟的25%至38.2%。大部份的病人沒有症狀,意外診斷出來也不需要手術切除。然而異位性抓臟如同胰臟一般,幾乎所有在胰臟發生的病變也會在異位性胰臟發生。一旦造成症狀及併發症,手術切除異位性胰臟是必要的。我們報告瘤,第二個病例是53歲男性病人在遠端胃竇有一個2公分黏膜下腫瘤。兩者造成胃出口阻塞的症狀。手術方式為施行次全胃切除。病人皆預後良好。病理報告皆為異位性胰臟。文獻回顧性胰臟造成胃出口阻塞的病例很少見,然而在胃出口阻塞的病人手術切除異位性胰臟是必要的。報告兩例異位性胰臟的病例;第一個病例是異位性胰臟仍需列入鑑別診斷。 |
英文摘要 | Ectopic pancrease is a rare entity and is usually an incidental finding in clinical practice. Most patients with an entopic pancreas are asymptomatic, and if present, symptoms are non-specific site is the stomach, accounting for 25%-38.2%% of all patients. An asymptomatic entopic pancreas is usually of no clinical importance, and there is no surgical indication in such a situation. However if there are complications caused by an entopic pancreas, a variety of actions becomes necessary. We report 2 cases of entopic pancreas with gastric outlet obstruction. The first case was a 41-year-old man who suffered from epigastric fullness and dyspepsia for 3 years. Endoscopic examination revealed a submucosal tumor measuring 2.5 cm in diameter in the prepyloric area. The second case was a 53-year-old man, who initially underwent a craniotomy to remove a pituitary adenoma, and laparotomy and duodenorrhaphy due to a perforated peptic ulcer. The postoperative course weas nto uneventful, and an upper gastrointestinal series showed a 2-cm intramural mass with a mucosal ulcer at the distal antrum. Both cases had symptoms and signs of gastric outlet obstruction, and both cases accepted subtotal gastrectomy with Billroth II anastomosis. A review of the literature revealed few cases of ectopic pancereas with gastric outlet obstruction. An ectopic pancreas must be considered in the differential diagnosis of gastric outlet obstruction. |
本系統中英文摘要資訊取自各篇刊載內容。