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- W2912983112 abstract "Purpose: Although gastric pancreatic heterotopia or pancreatic rest (PR) is a harmless condition, it can be confused with other sub-epithelial tumors. Distinction based on the endoscopic ultrasound (EUS) appearance may be difficult if overlapping features are present. In these cases a histologic diagnosis is desirable. We describe our experience with EUS-guided trucut biopsy in 3 cases. Methods: We identified three patients with a final diagnosis of gastric PR in whom EUS guided trucut biopsies were performed. The endosonographic features and histology findings were retrospectively reviewed. Results: In all three patients EUS suggested involvement of the muscularis propria as typical for a gastrointestinal stromal tumor (GIST). All lesions were located in the gastric antrum, and the size of the lesions ranged from 14 mm × 10 mm to 15 mm × 11 mm. EUS-guided trucut biopsy was technically difficult in one patient due to extreme angulation of the endoscope tip, and no diagnostic specimen was obtained. Since a GIST was suspected, this patient underwent laparoscopic resection, which revealed the diagnosis of a PR. In the other two patients EUS-guided trucut biopsy enabled a histologic diagnosis and no further surveillance or intervention was recommended. No complications occurred. Conclusion: Endoscopy and EUS appearances of a pancreatic rest can easily be confused with a GIST. EUS-guided trucut biopsy may enable a histological diagnosis which can prevent frequent surveillance endoscopies or surgery." @default.
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- W2912983112 date "2007-09-01" @default.
- W2912983112 modified "2023-10-17" @default.
- W2912983112 title "Utility of EUS-Guided Trucut Biopsy To Distinguish Pancreatic Rests from Gastrointestinal Stromal Tumors (A Case Series)" @default.
- W2912983112 doi "https://doi.org/10.14309/00000434-200709002-01154" @default.
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