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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 | Infection of the Norway lobster Nephrops norvegicus by a Hematodinium-like species of dinoflagellate on the west coast of Scotland 显示文摘 | Field R H Chapman C J Taylor AC | 1992 | Dis Aquat Org1992，13，： | 1 |
| 3 | Quantitative determi-nation of 1,4-dioxane and tetrahydrofuran in groundwater bysolid phase extraction GC/MS/MS显示文摘 | ISAACSON C MOHR T K FIELD J A | 2006 | Environmental Scienceand Technology2006，40，23： | 1 |
| 4 | An ap- proach to automatic three-dimensional finite element mesh generation显示文摘 | CAVENDISH J C FIELD D A FREY W H | 1985 | International Journal for Numerical Methods in Engineering1985，21，2： | 1 |
| 5 | What is 'emerging'? 显示文摘 | Field J A Johnson C A Rose J B | 2006 | Environmental Science & Technology2006，40，23： | 1 |
| 6 | A narrow-waveband spectral index that tracks diurnal changes in photosynthetic efficient显示文摘 | Gamon J A Penuelas J Field C B | 1992 | Remote Sensing of Environment1992，41，1： | 1 |
| 7 | Melt strength ofpolypropylene : its relevance to thermoforming 显示文摘 | LAU H C BHATACHARYA S N FIELD G J | 1998 | PolymerEngineering Science1998，38，11： | 1 |
| 8 | Bolus oral glutamine protects rats against CPT-1 I-induced diarrhea and differentially activates cytopro- tective mechanisms in host intestine but not tumor显示文摘 | Xue H Sawyer MB Field C J | 2008 | Nut~2008，38，4： | 1 |
| 9 | The design, fabrication and characterization of a silicon microheater for an integrated MEMS gas preconcentrator显示文摘 | YEOM J FIELD C R BAE B | 2008 | J Micromech Microeng2008，18，12： | 1 |
| 10 | The contribution of bacteria and detritus to carbon and nitrogen flow in a benthic community显示文摘 | Field J G | 1983 | Mar Biol Lett1983，4，： | 1 |
| 11 | Molecular physiology of reverse cholesterol transport 显示文摘 | FIELDING C J FIELDING P E | 1995 | J Lipid Res1995，36，2： | 1 |
| 12 | A purified Drosophila septin complex forms filaments and exhibits GTPase activity 显示文摘 | Field C M Alawar 0 Rosenblatt J | 1996 | J Cell Biol1996，133，3： | 1 |
| 13 | Global net primary production: combining ecology and remote sens- ing显示文摘 | Field C B Randerson J T Malmstrom C M | 1995 | Remote Sensing of Environment1995，51，： | 1 |
| 14 | Relationships between NDVI,canopy structure,and photosynthesis in three Californian vegetation types显示文摘 | GAMON J A FIELD C B GOULDEN M L | | 0，，01： | 1 |
| 15 | GEM-2:A new multifrequency electro- magnetic sensor显示文摘 | Won I J Keiswetter D A Fields G RA and Sutton L C | 1996 | Journal of Environmental and Engineering Geophysics1996，1，2： | 1 |
| 16 | A narrow-waveband spectral index that tracks diurnal changes in photosynthetic efficiency显示文摘 | Gamon J A Peuelas J Field C B | 1992 | Remote Sensing of Environment1992，41，1： | 1 |
| 17 | Countecurrent approach to the enrichment ofΔ9c,11t-andΔ10,12c-18:2 isomers by urea complexation显示文摘 | Ma D W FIELD C J CLANDININ M T | 2002 | Journal of the American Oil Chemists''Societ2002，79，8： | 1 |
| 18 | preimplantation genetic diagnosis for spinal muscular atrophy type I 显示文摘 | Fallon L Harton GL Sisson ME Rodriguez E Field LK Fugger EF Geltinger M Sun Y Dorfmann A Schoener C Bick Dm Schulman J Levinson G Black SH | 1999 | Neurology1999，53，： | 1 |
| 19 | Terrestrial ecosystem Production: a process model based on global satellite and surface data显示文摘 | Potter CS Randerson J Field C B | 1993 | Global Biogeochemical Cycle1993，7，： | 1 |
| 20 | Relationships between NDVI, canopy structure, and photosynthesis in three Californian vegetation types 显示文摘 | Gamon J A Field C B Goulden M L | 1995 | Ecological Applications1995，5，1： | 1 |
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