EKTOPİK PANKREAS OLGULARININ ENDOSONOGRAFİK ÖZELLİKLERİNİN RETROSPEKTİF TEK MERKEZ DEĞERLENDİRİLMESİ
Makaleler > Tam Makale · 2021
Yazarlar: Ali ŞENKAYA, FERİT ÇELİK, İlkçe Akgün KURTULMUŞ, Fatih TEKİN, Nevin ORUÇ, Ahmet AYDIN
J DEU Med, Hakemli Üniversite Dergisi, Uluslararası, Index Copernicus, 2021, cilt 35, ss 79-85
DOI: 10.5505/deutfd.2021.14227
Özet
<p><span style="color: rgb(17, 17, 17); font-family: Poppins; font-size: 14px;">INTRODUCTION: Ectopic pancreas is defined as pancreatic tissue located outside the normal pancreas. The aim of the present study was to determine the sonographic characteristics of lesions considered as ectopic pancreas via endoscopic ultrasonography examination. METHODS: This retrospective single-center study included 53 patients diagnosed with ectopic pancreas by endoscopic ultrasonography between March 2014 and March 2020. RESULTS: In the study, 32 (60.4%) patients were female and mean age was 44.7 ± 12.1 years. Further, 37 (69.8%) lesions were detected at the antrum greater curvature side, 10 (18.9%) at the antrum posterior wall, three (5.7%) at the corpus, two (3.8%) at the bulbus. EUS examination revealed that all lesions exhibited a heterogeneous pattern, 52 (98.1%) lesions had a hypoechoic appearance, 45 (85%) lesion borders were regular, and 45 (85%) showed central umbilication. The lesions were most frequently located in the submucosa (90.6%). The mean long axis was 10.7 ± 3.5 mm, mean short axis was 4.8 ± 1.0 mm, and long/short axis ratio was 2.4 ± 0.9. No significant difference was observed between the dimensions and size ratios of lesions and the presence or absence of umbilication (p = 0.550; 1.000 and 0.583, respectively). DISCUSSION AND CONCLUSION: In cases where the endoscopic ultrasonography examination revealed subepithelial lesions of submucosal origin that are <2 cm in size, exhibiting a heterogeneous pattern and hypoechoic appearance, anechoic duct-like structures, and a long/short axis ratio of >1.5 along with central umbilication, the diagnosis of ectopic pancreas should be prioritized.</span><br></p>