Letter to the Editor
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Apr 27, 2024; 16(4): 1215-1217
Published online Apr 27, 2024. doi: 10.4240/wjgs.v16.i4.1215
New frontiers in ectopic pancreatic tissue management
Serghei Covantsev
Serghei Covantsev, Department of Clinical Research and Development, Botkin Hospital, Moscow 125284, Russia
Author contributions: Covantsev S analyzed the data and wrote the manuscript.
Conflict-of-interest statement: The author declares no conflict of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (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: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Serghei Covantsev, BSc, MD, Doctor, Research Scientist, Staff Physician, Surgeon, Surgical Oncologist, Department of Clinical Research and Development, Botkin Hospital, 2nd Botkin ave, Moscow 125284, Russia. kovantsev.s.d@gmail.com
Received: January 7, 2024
Peer-review started: January 7, 2024
First decision: January 27, 2024
Revised: January 28, 2024
Accepted: March 26, 2024
Article in press: March 26, 2024
Published online: April 27, 2024
Processing time: 105 Days and 21.3 Hours
Abstract

The pancreatic development variations are relatively frequent but are often overlooked in clinical practice. This is due to the fact that they do not present with a distinct clinical picture and are usually asymptomatic. It also refers to the ectopic pancreatic tissue in the stomach. This anomaly can be diagnosed in any part of the digestive system, but it is mostly seen in the upper gastrointestinal tract, especially in the stomach, duodenum and jejunum. The management of this condition has evolved due to the development of minimally invasive procedures.

Keywords: Ectopic pancreatic tissue; Stomach; Endoscopy; Laparoscopy; Pancreas; Anomalies

Core Tip: The pancreatic development variations are relatively frequent, however simply overlooked. Pancreatic anomalies are difficult in their diagnosis and treatment, as there is little information about their management. The treatment of this condition has improved due to the development of minimally invasive procedures. Overall, both laparoscopic resection and endoscopic submucosal dissection seem to be methods of choice for the treatment of ectopic pancreatic tissue in the stomach, albeit surgery is better in the case of a large mass located deep in the abdominal cavity.