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| 1 | Clinical classification of symptomatic heterotopic pancreas of the stomach and duodenum:A case series and systematic literature review显示文摘BACKGROUND Heterotopic pancreas(HP)is an aberrant anatomic malformation that occurs most commonly in the upper gastrointestinal tract.While the majority of heterotopic pancreatic lesions are asymptomatic,many manifest severe clinical symptoms which require surgical or endoscopic intervention.Understanding of the clinical manifestations and symptoms of HP is limited due to the lack of large volume studies in the literature.The purpose of this study is to review symptomatic cases at a single center and compare these to a systematic review of the literature in order to characterize common clinical manifestations and treatment of this disease.AIM To classify the common clinical manifestations of heterotopic pancreas.METHODS A retrospective review was conducted of pathologic samples containing heterotopic pancreas from 2000-2018.Review was limited to HP of the upper gastrointestinal tract due to the frequency of presentation in this location.Symptomatic patients were identified from review of the medical records and clinical symptoms were tabulated.These were compared to a systematic review of the literature utilizing Pub Med and Embase searches for papers pertaining to heterotopic pancreas.Publications describing symptomatic presentation of HP were selected for review.Information including demographics,symptoms,presentation and treatment were compiled and analyzed.RESULTS Twenty-nine patient were identified with HP at a single center,with six of these identified has having clinical symptoms.Clinical manifestations included,gastrointestinal bleeding,gastric ulceration with/without perforation,pancreatitis,and gastric outlet obstruction.Systemic review of the literature yielded 232 publications detailing symptomatic cases with only 20 studies describing ten or more patients.Single and multi-patient studies were combined to form a cohort of 934 symptomatic patients.The majority of patients presented with abdominal pain(67%)combined with one of the following clinical categories:(1)Dyspepsia,(n=445,48%);(2)Pancreatitis(n=260,28%);(3)Gastrointestinal bleeding(n=80,9%);and(4)Gastric outlet obstruction(n=80,9%).The majority of cases(n=832,90%)underwent surgical or endoscopic resection with 85%reporting resolution or improvement in their symptoms.CONCLUSION Heterotopic pancreas can cause significant clinical symptoms in the upper gastrointestinal tract.Better understanding and classification of this disease may result in more accurate identification and treatment of this malformation. | Michael T Le Compte Brandon Mason Keenan J Robbins Motoyo Yano Deyali Chatterjee Ryan C Fields Steven M Strasberg William G Hawkins | 2022 | World Journal of Gastroenterology2022，28，14： | 3 |
| 2 | Systemins: A functionally defined familyof peptide signals that regulate defensive genes in Solanaceae-species显示文摘 | Ryan C A Pearee G | 2003 | Proc Nat/Acad Sci USA2003，25，14： | 1 |
| 3 | Evidence that decomposition rates of organic carbon in mineral soil do not vary with temperature显示文摘 | Ryan M G | 2000 | Nature2000，404，： | 1 |
| 4 | Data reduction software for LA-ICP-MS in the earth sci- ences显示文摘 | van Achterbergh E Ryan C G Jackson S E | 2001 | Mineralogical Association of Canada2001，29，： | 1 |
| 5 | The Siberian Lithosphere Traverse: Mantle Terranes and the Assembly of the Siberian Craton显示文摘 | GRIFFIN W L RYAN C G KAMINSKY F V | 1999 | Tectono- physics1999，310，1234： | 1 |
| 6 | Placenta accreta postpartum 显示文摘 | Ryan G L Quinn T J Syrop C H | 2002 | Obstet Gynecol2002，100，11： | 1 |
| 7 | Extremely Metal-poor Stars II:Elemental Abundances and the Early Chemical Enrichment of the Galaxy显示文摘 | RYAN S G NORRIS J E BEERS T C | 1996 | ApJ1996，471，： | 1 |
| 8 | Trace elements in sulfide inclusions from Yakutian diamonds显示文摘 | Bulanova G P Griffin W L Ryan C G | 1996 | Contributions to Mineralogy and Petrology1996，124，2： | 1 |
| 9 | The McMaster approach to families: Theory, assessment, treatment and research显示文摘 | Miller I W Ryan C E Keitner G I | 2000 | J Family Ther2000，22，2： | 1 |
| 10 | Polypeptide hormones显示文摘 | Ryan C A Pearce G | 2001 | Plant Physiol2001，125，1： | 1 |
| 11 | Microsatellite DNA loci for genetic studies of Cranes 显示文摘 | TRAVIS C G RYAN S O WOLFGANG S | 1997 | Proc North Am Crane Workshop1997，7，： | 1 |
| 12 | Assessment of a sequential extraction procedure for perturbed lead-contaminated samples with and without phosphorus amendments显示文摘 | SCHECKEL K G IMEPLLITERL C A RYAN J A | 2003 | Environmental Science & Technology2003，37，9： | 1 |
| 13 | BD ProbeTec ET assay for the diagnosis of gonorrhoea in a high-risk population: a protocol for replacing traditional microscopy and culture techniques显示文摘 | Ryan C Kudesia G McIntyre S | 2007 | Sex Transm Infect2007，83，3： | 1 |
| 14 | Systemin: a polypeptide singal for plant defensive genes 显示文摘 | Ryan C A Pearce G | 1998 | Annual review of Cell and Developmental biology1998，14，： | 1 |
| 15 | Segregation of ore metals betweenmagmatic brine and vapor: a fluid inclusion study using PIXE microanalysis显示文摘 | HEINRICH C A RYAN C G MERNAGH T P | 1992 | EconomicGeology1992，87，： | 1 |
| 16 | Polypeptide hormones 显示文摘 | Ryan C A Pearce G Scheer J | 2002 | The Plant Cell2002，14，： | 1 |
| 17 | Synthesis and characteriza- tion of inorganic silicon oxycarbide glass thin fihns by reac- tive rf-magnetron sputtering 显示文摘 | Joseph V Ryan Pantano C G | 2007 | J Vac Sci Technol A2007，25，1： | 1 |
| 18 | The effects of acute and chronic JJ stent placement on upper uri- nary tract motility and calculus placement显示文摘 | Ryan P C Lennon G M Fitzpatrick J M | 1994 | Br J Urol1994，74，4： | 1 |
| 19 | The effects of acute and chronic JJ stent placement on upper urinary tract motility and calculus transit显示文摘 | RYAN P C LENNON G M MCLEAN P A | 1994 | Urology1994，74，： | 1 |
| 20 | Polypeptide hormortes显示文摘 | Ryan C A Pearce G | 2001 | Plant Physiol2001，125，1： | 1 |
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