Non‐exposed endoscopic wall‐inversion surgery for an early gastric cancer arising from heterotopic submucosal gastric glands: A case report
Abstract A 74‐year‐old man, who was scheduled for surgery against the main duct‐type intraductal papillary mucinous neoplasm of the pancreas, was found to have a subepithelial lesion of the stomach under esophagogastroduodenoscopy. Endoscopic ultrasound‐guided fine needle aspiration for the gastric...
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| Format: | Article |
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Wiley
2025-04-01
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| Series: | DEN Open |
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| Online Access: | https://doi.org/10.1002/deo2.70097 |
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| author | Takeshi Abe Yosuke Toya Kyohei Sugai Mizuki Komai Shunichi Yanai Haruka Nikai Shigeaki Baba Ryo Sugimoto Naoki Yanagawa Takayuki Matsumoto |
| author_facet | Takeshi Abe Yosuke Toya Kyohei Sugai Mizuki Komai Shunichi Yanai Haruka Nikai Shigeaki Baba Ryo Sugimoto Naoki Yanagawa Takayuki Matsumoto |
| author_sort | Takeshi Abe |
| collection | DOAJ |
| description | Abstract A 74‐year‐old man, who was scheduled for surgery against the main duct‐type intraductal papillary mucinous neoplasm of the pancreas, was found to have a subepithelial lesion of the stomach under esophagogastroduodenoscopy. Endoscopic ultrasound‐guided fine needle aspiration for the gastric lesion revealed adenocarcinoma cells. We thus considered carcinomas arising from heterotopic submucosal gastric glands and metastases from the pancreatic lesion as differential diagnoses. We first non‐exposed endoscopic wall‐inversion surgery to the lesion as a total biopsy. The gastric lesion was diagnosed as early gastric cancer originating from heterotopic submucosal gastric glands. The patient subsequently underwent a pylorus‐preserving pancreatoduodenectomy for the intraductal papillary mucinous neoplasm. Our experience suggests non‐exposed endoscopic wall‐inversion surgery is a useful and minimally invasive option for the diagnosis and treatment of gastric submucosal lesions, which are presumed to be malignant in nature. |
| format | Article |
| id | doaj-art-b2e87221bb3b42d1a75efcbca6ddccbb |
| institution | DOAJ |
| issn | 2692-4609 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | DEN Open |
| spelling | doaj-art-b2e87221bb3b42d1a75efcbca6ddccbb2025-08-20T03:13:36ZengWileyDEN Open2692-46092025-04-0151n/an/a10.1002/deo2.70097Non‐exposed endoscopic wall‐inversion surgery for an early gastric cancer arising from heterotopic submucosal gastric glands: A case reportTakeshi Abe0Yosuke Toya1Kyohei Sugai2Mizuki Komai3Shunichi Yanai4Haruka Nikai5Shigeaki Baba6Ryo Sugimoto7Naoki Yanagawa8Takayuki Matsumoto9Division of Gastroenterology and Hepatology Department of Internal Medicine School of Medicine Iwate Medical University Iwate JapanDivision of Gastroenterology and Hepatology Department of Internal Medicine School of Medicine Iwate Medical University Iwate JapanDivision of Gastroenterology and Hepatology Department of Internal Medicine School of Medicine Iwate Medical University Iwate JapanDivision of Gastroenterology and Hepatology Department of Internal Medicine School of Medicine Iwate Medical University Iwate JapanDivision of Gastroenterology and Hepatology Department of Internal Medicine School of Medicine Iwate Medical University Iwate JapanDepartment of Surgery School of Medicine Iwate Medical University Iwate JapanDepartment of Surgery School of Medicine Iwate Medical University Iwate JapanDepartment of Molecular Diagnostic Pathology School of Medicine Iwate Medical University Iwate JapanDepartment of Molecular Diagnostic Pathology School of Medicine Iwate Medical University Iwate JapanDivision of Gastroenterology and Hepatology Department of Internal Medicine School of Medicine Iwate Medical University Iwate JapanAbstract A 74‐year‐old man, who was scheduled for surgery against the main duct‐type intraductal papillary mucinous neoplasm of the pancreas, was found to have a subepithelial lesion of the stomach under esophagogastroduodenoscopy. Endoscopic ultrasound‐guided fine needle aspiration for the gastric lesion revealed adenocarcinoma cells. We thus considered carcinomas arising from heterotopic submucosal gastric glands and metastases from the pancreatic lesion as differential diagnoses. We first non‐exposed endoscopic wall‐inversion surgery to the lesion as a total biopsy. The gastric lesion was diagnosed as early gastric cancer originating from heterotopic submucosal gastric glands. The patient subsequently underwent a pylorus‐preserving pancreatoduodenectomy for the intraductal papillary mucinous neoplasm. Our experience suggests non‐exposed endoscopic wall‐inversion surgery is a useful and minimally invasive option for the diagnosis and treatment of gastric submucosal lesions, which are presumed to be malignant in nature.https://doi.org/10.1002/deo2.70097early gastric cancerheterotopic submucosal gastric glandslaparoscopic and endoscopic cooperative surgerynon‐exposed endoscopic wall‐inversion surgerysubepithelial lesion |
| spellingShingle | Takeshi Abe Yosuke Toya Kyohei Sugai Mizuki Komai Shunichi Yanai Haruka Nikai Shigeaki Baba Ryo Sugimoto Naoki Yanagawa Takayuki Matsumoto Non‐exposed endoscopic wall‐inversion surgery for an early gastric cancer arising from heterotopic submucosal gastric glands: A case report DEN Open early gastric cancer heterotopic submucosal gastric glands laparoscopic and endoscopic cooperative surgery non‐exposed endoscopic wall‐inversion surgery subepithelial lesion |
| title | Non‐exposed endoscopic wall‐inversion surgery for an early gastric cancer arising from heterotopic submucosal gastric glands: A case report |
| title_full | Non‐exposed endoscopic wall‐inversion surgery for an early gastric cancer arising from heterotopic submucosal gastric glands: A case report |
| title_fullStr | Non‐exposed endoscopic wall‐inversion surgery for an early gastric cancer arising from heterotopic submucosal gastric glands: A case report |
| title_full_unstemmed | Non‐exposed endoscopic wall‐inversion surgery for an early gastric cancer arising from heterotopic submucosal gastric glands: A case report |
| title_short | Non‐exposed endoscopic wall‐inversion surgery for an early gastric cancer arising from heterotopic submucosal gastric glands: A case report |
| title_sort | non exposed endoscopic wall inversion surgery for an early gastric cancer arising from heterotopic submucosal gastric glands a case report |
| topic | early gastric cancer heterotopic submucosal gastric glands laparoscopic and endoscopic cooperative surgery non‐exposed endoscopic wall‐inversion surgery subepithelial lesion |
| url | https://doi.org/10.1002/deo2.70097 |
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