Attwell A, Sams S, Fukami N. Diagnosis of ectopic pancreas by endoscopic ultrasound with fine-needle aspiration. World J Gastroenterol 2015; 21(8): 2367-2373 [PMID: 25741143 DOI: 10.3748/wjg.v21.i8.2367]
Corresponding Author of This Article
Augustin Attwell, MD, Division of Gastroenterology, Department of Medicine, University of Colorado-Denver School of Medicine, 660 Bannock Street, MC 4000, Denver, CO 80204, United States. augustin.attwell@dhha.org
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Feb 28, 2015; 21(8): 2367-2373 Published online Feb 28, 2015. doi: 10.3748/wjg.v21.i8.2367
Diagnosis of ectopic pancreas by endoscopic ultrasound with fine-needle aspiration
Augustin Attwell, Sharon Sams, Norio Fukami
Augustin Attwell, Norio Fukami, Division of Gastroenterology, Department of Medicine, University of Colorado-Denver School of Medicine, Aurora, CO 80045, United States
Sharon Sams, Department of Pathology, University of Colorado-Denver School of Medicine, Aurora, CO 80045, United States
Author contributions: Attwell A drafted, edited, and revised the manuscript and performed half of the endoscopic ultrasound procedures; Fukami N reviewed and edited the manuscript for intellectual and statistical content and performed half of the endoscopic ultrasound procedures; Sams S reviewed the cytology slides for the patients, she also produced and edited the cytology photograph image used in figure 2C.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Augustin Attwell, MD, Division of Gastroenterology, Department of Medicine, University of Colorado-Denver School of Medicine, 660 Bannock Street, MC 4000, Denver, CO 80204, United States. augustin.attwell@dhha.org
Telephone: +1-303-6025013 Fax: +1-303-6025055
Received: September 8, 2014 Peer-review started: September 9, 2014 First decision: October 14, 2014 Revised: October 30, 2014 Accepted: November 19, 2014 Article in press: November 19, 2014 Published online: February 28, 2015
Core Tip
Core tip: Subepithelial lesions (SEL) of the upper gastrointestinal (GI) tract are common incidental findings during GI endoscopy. Ectopic pancreas (EP) is an uncommon yet innocent SEL that should be differentiated from premalignant lesions such as gastrointestinal stromal tumors or neuroendocrine tumors. Noninvasive studies such as computed tomography, magnetic resonance imaging, or standard mucosal biopsies cannot reliably diagnose EP, so the role of endoscopic ultrasound-fine-needle aspiration (EUS-FNA) was studied. Herein the endoscopic, endosonographic, cytologic, and histologic features of EP are presented along with a summary of the pertinent, existing literature. Our data support the conclusion that EUS-FNA is a safe and effective diagnostic tool for EP.
