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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 | Imaging Fourier Transform Spectrometer显示文摘 | Bennett C L Carter M Fields D | 1993 | SPIE1993，1937，： | 1 |
| 3 | Interleukin -6 in the synovial membrane in rheumatoid arthritis 显示文摘 | FIELD M CHU C Q FELDMANN M | 1991 | Rheumatol Int1991，11，： | 1 |
| 4 | Synthetic estrogen derivatives demonstrate the functionality of intracellular GPR30 显示文摘 | Revankar C M Mitchell H D Field A S | 2007 | ACS Chem Biol2007，2，8： | 1 |
| 5 | 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 |
| 6 | 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 |
| 7 | 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 |
| 8 | Amplitude-Probability Dis- tribution Model for VLF/ELF Atmospheric Noise 显示文摘 | Field Jr E C Lewinstein M | 1978 | Communications IEEE Transactions on1978，26，1： | 1 |
| 9 | 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 |
| 10 | The magnitude of Late Paleozoic glacioeustatic fluctuations: A synthesis显示文摘 | Rygel M C Fielding C R Frank T D | 2008 | Journal of Sedimentary Research2008，78，8： | 1 |
| 11 | 100 + GHz static divide-by-2 circuit in InP-DHBT technology显示文摘 | MOKHTARI M FIELDS C RAJAVEL R D | 2003 | IEEE Journal of Solid-State Circuits2003，38，9： | 1 |
| 12 | 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 |
| 13 | KIF4 regulates midzone length during cytokinesis 显示文摘 | HU C K COUGHLIN M FIELD C M | 2011 | Curr Biol2011，21，10： | 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 | 1995 | Ecological Applications1995，5，1： | 1 |
| 15 | Global net primary pro- duction: Combining ecology and remote sensing显示文摘 | Field C B Randerson J T Malmstrom C M | 1995 | Remote Sensing of Environment1995，51，： | 1 |
| 16 | Recurrent thrombo embolismin patients with vena cava filters显示文摘 | Green field L J Proctor M C Mich A A | 2001 | J Vasc Surg2001，33，3： | 1 |
| 17 | Primary production of the biosphere: integrating terrestrial and oceanic components 显示文摘 | Field C B Beh renfeld M J Randerson J T | 1998 | Science1998，，281： | 1 |
| 18 | Global net Primary Production:combining ecology and remote sensing显示文摘 | Field C B Randerson J T Malmstrom C M | 1995 | Remote Sensing of Environment1995，51，： | 1 |
| 19 | Self- and actin-tem- plated assembly of mammalian septins 显示文摘 | Kinoshita M Field C M Coughlin M L | 2002 | Dev Cell2002，3，6： | 1 |
| 20 | The relationship of in-ternet use to depression and social isolation among adoles-cents显示文摘 | Sanders C Field T Diego M | 2000 | Adolescence2000，，： | 1 |
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