减重手术术前评估中发现的胃异位胰腺的管理——一例报告
Management of gastric ectopic pancreas identified in preoperative evaluation of bariatric surgery - A case report.
作者信息
Gadelha Bezerra Silva Bruno, Veras Oliveira Adriano, Almeida de Sousa Jucá Marcio, de Sousa Nóbrega Antônio Gláucio, Lopes Paulo Marcos, Feitosa Gomes José Walter, Alencar Barros André Átila
机构信息
Surgery Department, Division of General Surgery, Hospital José Martiniano de Alencar, 1526, Princesa Isabel Street, Centro District, Fortaleza, Ceará, Brazil.
Surgery Department, Division of Bariatric and Metabolic Surgery, Hospital José Martiniano de Alencar, 1526, Princesa Isabel Street, Centro District, Fortaleza, Ceará, Brazil.
出版信息
Int J Surg Case Rep. 2020;77:353-356. doi: 10.1016/j.ijscr.2020.10.104. Epub 2020 Nov 2.
BACKGROUND
The diagnosis of gastric lesions, such as the Ectopic Gastric Pancreas (GEP), has become more frequent after the increase in bariatric surgeries. The most frequently used surgical options are: Sleeve Gastrectomy (SG) and Roux-en-Y Gastric Bypass (RYGB). The scientific papers about GEP in Bariatric Surgery consisted of intraoperative findings, approach the lesion with gastrectomy and the need to change the initial surgical strategy of the Sleeve for others techniques which allow extended gastric resections.
PRESENTATION OF CASE
This is a report on a 21-year-old female patient with class 3 obesity whose preoperative evaluation showed two lesions suggestive of GEP. Simultaneous surgical video-laparoscopic treatment of lesions associated with SG aided by intraoperative Upper Endoscopy (UE) was performed with no perioperative complications.
CONCLUSION
It is possible to associate the treatment of rare gastric lesions with traditional surgery techniques for obesity.
背景
随着减肥手术的增加，胃病变的诊断，如异位胃胰腺（GEP），变得更加频繁。最常用的手术选择是：袖状胃切除术（SG）和Roux-en-Y胃旁路术（RYGB）。关于减肥手术中GEP的科学论文包括术中发现、通过胃切除术处理病变以及将袖状胃切除术的初始手术策略改为其他允许进行广泛胃切除术的技术的必要性。
病例介绍
这是一份关于一名21岁3级肥胖女性患者的报告，其术前评估显示有两个提示GEP的病变。在术中上消化道内镜检查（UE）辅助下，对与SG相关的病变进行了同步手术视频腹腔镜治疗，无围手术期并发症。
结论
将罕见胃病变的治疗与肥胖的传统手术技术相结合是可行的。
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