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Surgical treatment of gastric aberrant pancreas with acute pancreatitis by laparoscopic and endoscopic cooperation surgery : Report of a case Noriaki SAGAWA 1 , Masatoshi KADOYA 1 , Mitsuhiro TOMIYMA 1 1Department of Surgery, Ebetsu City Hospital Keyword: 胃異所性膵 , 膵炎 , 腹腔鏡・内視鏡合同手術 pp.623-630
Published Date 2018/9/15
DOI https://doi.org/10.11477/mf.4426200602
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 Gastric aberrant pancreas is usually of no clinical symptom and most cases are found accidentally during endoscopy or surgery. Conservative management is appropriate in an asymptomatic patient, however operation is available for symptomatic, enlarging tumors, and is suggested if diagnostic uncertainty remains. We report a case of acute pancreatitis in gastric aberrant pancreas treated with laparoscopic endoscopic cooperation surgery (LECS). A 42-year-old woman who was diagnosed with gastric aberrant pancreas underwent left mastectomy for breast cancer. She often complained of epigastralgia frequently at 4-year follow up after surgery and examinations revealed gastric aberrant pancreas with acute pancreatitis. Therefore surgical resection was performed by LECS. The tumor was located at the lesser curvature of her stomach and marked by endoscopic submucosal dissection technique. The circumference around the tumor was dissected using ultrasonical scalpel after the artificial perforation was performed. This procedure allows safe tumor resection with minimal resection area of the stomach wall and would be preferable in functional preservation such as oral ingestion.


Copyright © 2018, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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