Liou Yu-Jung, Weng Shu-Chao, Chang Paul Chia-Yu, Jiang Chuen-Bin, Lee Hung-Chang, Chan Wai-Tao, Ho Cheng-Yu, Wu Pao-Shu, Yeung Chun-Yan
Department of Pediatrics, Hsinchu Municipal MacKay Children's Hospital, Hsinchu City 300046, Taiwan.
Department of Pediatrics, MacKay Children's Hospital, Taipei 104217, Taiwan.
Children (Basel). 2023 Jan 22;10(2):201. doi: 10.3390/children10020201.
Heterotopic pancreas (HP) is defined as pancreatic tissue lacking vascular or anatomic connection with the normal pancreas. Surgical resection is often indicated for symptomatic gastric HP. However, intraoperative identification of gastric HP is often difficult during laparoscopic surgery. Herein, we describe a patient with gastric HP, which was marked with SPOT dye (GI Supply, Camp Hill, PA, USA). The dye was seen clearly laparoscopically facilitating total excision of the lesion. The final pathology report confirmed the presence of heterotopic pancreatic tissue including pancreatic acini, small pancreatic ducts tissue with islets of Langerhans in the deep gastric submucosal area. There were no postoperative complications, and the patient was symptom-free. To the best of our knowledge, this was the first case report in the literature in which endoscopic tattooing of gastric HP before laparoscopic resection was performed. This method of localization was simple and reliable in children.
异位胰腺（HP）被定义为与正常胰腺缺乏血管或解剖学连接的胰腺组织。有症状的胃HP通常需要手术切除。然而，在腹腔镜手术中，术中识别胃HP往往很困难。在此，我们描述了一名患有胃HP的患者，其通过SPOT染料（美国宾夕法尼亚州坎普希尔市的GI Supply公司生产）进行了标记。在腹腔镜下可以清楚地看到该染料，有助于病变的完整切除。最终病理报告证实，在胃黏膜深层区域存在异位胰腺组织，包括胰腺腺泡、带有胰岛的小胰管组织。术后无并发症，患者无症状。据我们所知，这是文献中首例在腹腔镜切除术前对胃HP进行内镜纹身的病例报告。这种定位方法在儿童中简单且可靠。
