20 years experience in diagnostics and treatment of the ektopated pancreas in the gastroduodenal zone in children
G. N. Rumyantseva,
E. I. Kazakova,
Yu. F. Brevdo,
T. N. Minko,
S. V. Trukhachev,
V. V. Svetlov,
A. N. Kazakov https://doi.org/10.31146/1682-8658-ecg-200-4-119-125
Abstract
Ectopia of the pancreas is a rare malformation that requires an individual approach to treatment. We present our experience in the diagnosis and treatment of 119 patients with EPI in the gastroduodenal zone. The main indication for surgical treatment is with a long-term intractable pain symptom. 28 (23.5%) patients were operated on, most of them from the laparoscopic approach. To determine the enzymatic activity of the gland, an assessment of the vegetative status was used. Vagotonia can be one of the causes of exocrine activity and hyperperistalsis of the stomach and duodenum. Among the operated patients, the parasympathetic type of autonomic nervous regulation was more common. Evaluation of the histostructure of the removed EPG macro- preparations indicated the predominance of type 3, indicating the presence of all components similar in structure to the tissue of a normal pancreas.
About the Authors
G. N. Rumyantseva
Tver State Medical University
Russian Federation
Russian Federation
Galina N. Rumyantseva, MD; Professor; Head of the Department of Pediatric Surgery; pediatric surgeon
4, Sovetskaya St., Tver, 170100
E. I. Kazakova
Tver State Medical University; Children’s Regional Clinical Hospital
Russian Federation
Russian Federation
Elena I. Kazakova, postgraduate student of the Department of Pediatric Surgery; pediatric surgeon for emergency and emergency care for children of the Department of Purulent Surgery; endoscopist
4, Sovetskaya St., Tver, 170100
Yu. F. Brevdo
Children’s Regional Clinical Hospital
Russian Federation
Russian Federation
Yuri F. Brevdo, pediatric surgeon; head of 1 surgical department
23, S. Razina str., 170100, Tver
T. N. Minko
Children’s Regional Clinical Hospital
Russian Federation
Russian Federation
Tatiana N. Minko, Candidate of Medical Sciences; Head of the endoscopic department; endoscopist
23, S. Razina str., 170100, Tver
S. V. Trukhachev
Children’s Regional Clinical Hospital
Russian Federation
Russian Federation
Sergey V. Trukhachev, Candidate of Medical Sciences; pediatric surgeon of the I surgical department
23, S. Razina str., 170100, Tver
V. V. Svetlov
Children’s Regional Clinical Hospital
Russian Federation
Russian Federation
Vladislav V. Svetlov, Candidate of Medical Sciences; doctor of pediatric surgeon of the I surgical department
23, S. Razina str., 170100, Tver
A. N. Kazakov
Children’s Regional Clinical Hospital
Russian Federation
Russian Federation
Alexander N. Kazakov, Candidate of Medical Sciences; pediatric surgeon of the Department of purulent surgery; ultrasound diagnostics doctor
23, S. Razina str., 170100, Tver
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Review
For citations:
Rumyantseva G.N., Kazakova E.I., Brevdo Yu.F., Minko T.N., Trukhachev S.V., Svetlov V.V., Kazakov A.N. 20 years experience in diagnostics and treatment of the ektopated pancreas in the gastroduodenal zone in children. Experimental and Clinical Gastroenterology. 2022;(4):119-125. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-200-4-119-125
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