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异位胰腺10例报告

Heterotopic pancreas

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【作者】 姚育修

【Author】 YAO Yu-Xiu(Department of surgery,First Affiliated Hospital,Jiangxi medical College,Nanchang 330006)

【机构】 江西医学院第一附属医院

【摘要】 报告异位胰腺10例。5例位于胃,2例位于十二指肠,1例在空肠,另2例为异位胰岛素瘤.本症临床表现取决于异位胰腺的部位、大小、性质及其成份的生理功能状态等相关。因为症状很不典型术前诊断较为困难.多由手术及病理切片证实。钡餐及胃镜检查加粘膜活检对诊断有意义。治疗以局部切除为宜,本组5例行胃大部切除,1例行十二指肠楔形切除,另1例行胰十二指肠切除,为术中未行冰冻切片误诊所致。1例行空肠段切除,另2例作异位胰岛素瘤局部切除.术后均痊愈出院。

【Abstract】 Ten cases of heterotopic pancreas bed rePOrted. 5 located in the wall of the stomach and 2 within duodenum, 1, jejunum,the other 2, Beta islet cell tumors of heterotopic pancreas(insulimma). The symptoms and signs are depend upon the location, size and the physiological function of the content. It may divid into ulcerative, tumor, hemorrhage, obstructive,peritonitis and obscure type. the diagnosis always proved by laparotomy. Barium meal and gastroscopic mucosal biopsy are value for diagnosis. The treatment is local resection. 5 performed subtotal gastrectomy, 2 cases duodenal heterotopec pancreas 1, local wedge resection of the wall, l, pancreatoduodenectomy, resection of aloop of jejunum in 1 case 2insulimma local resected surgical result good.

【关键词】 胰腺异位诊断治疗病例报告
【Key words】 pancreasHeterotopicdiagnosistreatmentcase report
  • 【文献出处】 肝胆外科杂志 ,JOURNAL OF HEPATOBILIARY SURGERY , 编辑部邮箱 ,1994年01期
  • 【分类号】R576
  • 【被引频次】2
  • 【下载频次】42
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