Title: Ectopic pancreas with child
- Maja Ludzik, Leokadia Bąk-Romaniszyn, Elżbieta Czkwianianc, Ewa Małecka-Panas
- Original articles
- Polish Gastroenterology
- Start page:
- Final page:
- pancreas, heterotopic tissue, ectopic pancreas, children
Introduction: Ectopic pancreas (heterotopic pancreas - HP) is the most frequent form of heterotopia, that is improper location of properly differentiated organ tissue. Ectopic tissues usually are asymptomatic and are rarely the cause of complications. However, in some cases they may create a serious clinical problem and they may be the cause of neoplasia. The frequency of appearance of this anomaly is assessed to be in case of 0.6-15% of the population.The most frequent locations are the stomach and duodenum but pancreas ectopy can be found on the whole length of digestivetract. It is estimated that in case of 40%, at least once in a lifetime, give the symptoms of indefinitedy spepsia. Clinical symptoms appear most frequently in case of ectopic pancreas located in the stomach.
Aim of study: The aim of this project was an analysis of the children, in the case of whom during an endoscopic examination a presence of a central umbilication polyp was found, which might mean ectopic pancreas.
Material and methods: The analysis was performed on 9 medical records of 1925 cases (0.4%) in whose upper GI endoscopy during lasttwo yearswas performed and a change like ectopic pancreas was found.
Results: The subjects were 7 to 16 years old (4 girls, 5 boys). The main reasons for hospital admitting were: epigastric pain (6), nausea and vo-miting (2), a feeling of fullness (2) and heartburn and empty belching (l).The severe stomach aches with nausea appearing repeatedly were the cause of hospitalization in the surgical ward in two cases. An above normal level of diastase in blood serum in laboratory tests was revealed in the case of 4 children, abnormal liver tests in 2 cases were stated. The results of daily glucose profile and glucose load were correct in all cases. One of the children suffering of irritating pain, with temporary attacks of hypoglicaemia underwent surgery and the presence of pancreas tissue in the removed polyp in histopathology examination was confirmed.
Conclusions: Lack of changes in laboratory tests and oligosymptomatic or asymptomatic course create vast difficulties in the ectopic pancreas diagnosis. The basie problem is the propertime and optimal surgical treatment.