Odinak V M, Trubitsina I A, Roshke E V, Borodulin I V
Khirurgiia (Mosk). 1996(4):43-5.
The authors describe 6 children with pancreas ectopy to the gastric wall. Their age was between 8 and 14 years. The main clinical and endoscopic signs were: prolonged pain, dyspepsia and a "polyp" in pyloroantral part of the stomach. In 4 of 6 children the pancreas ectopy to the gastric wall was suspected. All patients had been operated on. The indications for surgery were the following: severe pain with no effect of conservative therapy, suspicion for "polyp" malignancy and ulceration, bleeding. In one patient Bilroth-1 resection has been performed and in 2 cases sectoral dissection of the gastric wall pancreatic ectopy has been done. In 3 patients enucleation of the ectopic pancreas was performed. All patients had ineventful postoperative period. The pancreas ectopy in children is an indication for the surgery because of severe pain and possibility of severe complications. The surgery relieves pain and provides recovery.
作者描述了6例胃壁胰腺异位的儿童。他们的年龄在8岁至14岁之间。主要的临床和内镜表现为：持续性疼痛、消化不良以及胃幽门窦部有一个“息肉”。6例儿童中有4例被怀疑有胃壁胰腺异位。所有患者均接受了手术。手术指征如下：保守治疗无效的严重疼痛、怀疑“息肉”恶变以及溃疡、出血。1例患者进行了毕罗-Ⅰ式切除术，2例患者进行了胃壁胰腺异位的局部切除术。3例患者进行了异位胰腺摘除术。所有患者术后恢复顺利。儿童胰腺异位因严重疼痛及严重并发症的可能性而成为手术指征。手术可缓解疼痛并促进康复。
