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消化道异位胰腺以胃肠者居多,可发生在任何年龄,但多见于30~50岁。本组15例胃肠异位胰腺,在空肠、胃各40%,十二指肠20%,其直径在空肠者为05~25cm,胃者4~6cm。胃肠异位胰腺的临床表现无特异性,其症状多与异位胰腺组织所在的部位、所致的并发症有关,故常易误诊、漏诊。胃镜下发现隆起物有“脐样凹陷”。可从凹陷处注射促胰激素,如有胰液流出者有助于本病诊断。X线钡餐造影检查有充盈缺损,缺损中央有存钡并呈脐状凹陷的“中央异管征”时亦协助本病诊断。本病治疗目前仍以手术切除为主,手术方式随并发症而定,一般只行异位胰腺组织切除,不宜广泛切除。
Gastrointestinal ectopic pancreas gastrointestinal majority, can occur at any age, but more common in 30 to 50 years old. The group of 15 cases of gastrointestinal ectopic pancreas, jejunum, stomach 40%, duodenum 20% of its diameter in the jejunum was 0 5 ~ 2 5cm, stomach 4 ~ 6cm. Gastrointestinal ectopic pancreas clinical manifestations of non-specific, and its symptoms and more ectopic pancreatic tissue where the site, the resulting complications, it is often misdiagnosed, missed diagnosis. Gastroscopy found bumps have “umbilical depression.” Can be injected into the depressions of pancreatic hormone, if pancreatic effusion will help diagnose the disease. X-ray barium meal angiography filling filling defect, there is a central defect in the absence of barium and umbilical deformity of the “Central Dysregulation” also help diagnose the disease. The treatment of this disease is still mainly based on surgical resection, surgical methods with complications may be, generally only heterotopic pancreatic resection, should not be extensively removed.