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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 | DNA synthesis and multinucleation in embryonic stem cell-derived cardiomyocytes显示文摘 | SOONPAA M H FIELD L J | 1995 | Am J Physiol1995，269，62： | 1 |
| 3 | Advanced anaerobic wastewater treatment in the near future显示文摘 | Lettinga G Field J Van Lier J B Zeeman G Pol L W H | 1997 | Wat Sci Technol1997，35，10： | 1 |
| 4 | 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 |
| 5 | 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 |
| 6 | Bortezomib (Velcade TM) in the treatment of multiple myeloma显示文摘 | Field Smith A Morgan G J Davies F E | 2006 | Ther Clin Risk Manag2006，2，3： | 1 |
| 7 | Structural and functional relationship between the receptor recognition and neuraminidase activities of the Newcastle disease virus hemagglutinin-neuraminidase protein:Receptor recognition is dependent on neuraminidase activity显示文摘 | Iorio R M Field G M Sauvron J M | 2001 | J of Virol2001，75，： | 1 |
| 8 | A practical strategy for analysing multispecies distribution patterns显示文摘 | Field J G Clarke K R Warwick R M | 1982 | Mar Ecol Prog Ser1982，8，1： | 1 |
| 9 | 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 |
| 10 | Advanced anaerobic waste water treatment in the near future显示文摘 | Lettinga G Field J Lier JV | 1997 | Water Science and Technology1997，35，10： | 1 |
| 11 | Aging and stress-induced changes in complement activation and neutrophil mobilization显示文摘 | Cannon J G Fiatarone M A Fielding R A | 1994 | J Appl Physiol1994，76，6： | 1 |
| 12 | Bkm minisatellite sequences are not sex associated but reveal DNA fingerprint polymorphisms in rainbow trout显示文摘 | Lloyd M A Fields M J and Thorgard G H | 1989 | Genome1989，，32： | 1 |
| 13 | Advanced anaerobic wastewater treatment in the near future 显示文摘 | Lettinga G Field J van Lier J | 1997 | Water Sci Technol1997，35，10： | 1 |
| 14 | 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 |
| 15 | Genetic alteration in bronchial lavage as a potential marker for individuals with a high risk of developing lung cancer 显示文摘 | Field J K Liloglou T Xinariancs G | 1999 | Cancer Res1999，59，11： | 1 |
| 16 | Advanced anaerobic wastewater treatment in the near future显示文摘 | LETTINGA G FIELD J VAN LIER J | 1997 | Wat Sci Tech1997，35，10： | 1 |
| 17 | Advanced anaerobic wastewater treatment in the near future 显示文摘 | Lettinga G Field J Zeeman G | 1997 | Water Science and Technology1997，35，10： | 1 |
| 18 | Melt Strength of Polypropylene: Its Relevance to Thermoforming 显示文摘 | Lau H C Bhattacharya S N Field G J | | Polymer Engineering and Science0，38，11： | 1 |
| 19 | Reduction of the azo dye Mordant Orange ! by methanogenic granular sludge exposed to oxygen 显示文摘 | Tan N C G Lettinga G Field J A | 1999 | Bioresour Technol1999，67，1： | 1 |
| 20 | Review of experimental techniques for high rate deformation and shock studies显示文摘 | Field J E Walley S M Proud W G | | 0，，07： | 1 |
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