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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 | Additional conjugation methods and immunogenicity of Bacillus anthracis poly-gamma-D-glutamic acid-protein conjugates 显示文摘 | Kubler-Kielb J Liu T Y Mocca C Majadly F Robbins J B and Schneerson R | 2006 | Infection and Immunity2006，74，8： | 1 |
| 3 | Corporate Mergers and the Problems of IS Integration 显示文摘 | STYLIANOU A JEFFRIES C ROBBINS S | 1996 | Information and Management1996，31，4： | 1 |
| 4 | Soil water, solute and plant growth simulation 显示文摘 | Tillotson W R Robbins C Wagenet W R J | 1980 | Bulletin Utah Agriculture Experiment Station1980，502，： | 1 |
| 5 | Expression and activity of the CDK inhibitor p57 Kip2 in chondrocytes undergoing hypertrophic differentiation 显示文摘 | Stewart M C Kadlcek R M Robbins P D | 2004 | J Bone Miner Res2004，19，1： | 1 |
| 6 | Carbon dioxide partial pressure in lysimeter soils显示文摘 | Robbins C W | 1986 | Agron J1986，78，1： | 1 |
| 7 | Effect of phosphorus rertilization on the selenium concentration in alfalfa ( Medicago sativa) 显示文摘 | Cater D L Robbins C W Brown M J | 1972 | Soil Sci Soc Amer Proc1972，36，： | 1 |
| 8 | Phase I study of highly selective supradose cisplatin infusions for advanced head and neck cancer显示文摘 | Robbins KT Storniolo AM Kerber C | 1994 | J Clin Oncol1994，12，10： | 1 |
| 9 | Combining cottage cheese whey and straw reduces erosion while increasing infiltration in furrow irrigation显示文摘 | BROWN M J ROBBINS C W FREEBORN L L | 1998 | Journal of Soil and Water Cons-ervation1998，53，2： | 1 |
| 10 | Childhood and adolescent can- cer statistics, 2014 显示文摘 | Ward E Desantis C Robbins A | 2014 | CA Cancer J Clin2014，64，2： | 1 |
| 11 | Sodic soil reclamation using cottage cheese(acid)whey显示文摘 | Jones S B Robbins C W Hansen C L | 1993 | Arid Soil Research and Rehabilitation1993，7，1： | 1 |
| 12 | Long-lasting and transmission-blocking activity of antibodies to Plasmodiurn falciparurn elicited in mice by protein conjugates of Pfs25 显示文摘 | Kubler Kielb J Majadly F Wu Y Narum D L Guo C Miller L H Shiloach J Robbins J B and Schneerson R | 2007 | Proceedings of the National Academy of Sciences of the United States of America2007，104，1： | 1 |
| 13 | Role of tannins in defend A, HANLEY A E, et ing plants against ruminants: Reduction in protein availability显示文摘 | ROBBINS C T HARIEY T al | 1987 | Ecology1987，68，1： | 1 |
| 14 | Identification of acidic NSO compounds in crude oils of different geochemical origins by negative ion electrospray Fourier transform ion cyclotron resonance mass spectrometry显示文摘 | HUGHEY C A RODGERS R P MARSHALL A G QIAN K ROBBINS W K | 2002 | Org Geochem2002，33，7： | 1 |
| 15 | The C-termi- nal domains of the GABA(b) receptor subunits mediate intracellular trafficking but are not required for receptor signaling显示文摘 | Calver A R Robbins M J Cosio C | 2001 | J Neurosci2001，21，： | 1 |
| 16 | National standard for meas- urement of resting and ambulatory blood pressures with automated sphyg- momanometers显示文摘 | White WB Berson AS Robbins C | 1993 | Hypertension1993，21，： | 1 |
| 17 | Phar- macological and immunohistoehemieal characterization of the APJ receptor and its endogenous ligand apelin 显示文摘 | MEDHURST A D JENNINGS C A ROBBINS M J et at | 2003 | J Neurochem2003，84，5： | 1 |
| 18 | Childhood and adolescent cancer statistics,2014显示文摘 | Ward E Desantis C Robbins A | 2014 | CA Cancer J Clin2014，64，2： | 1 |
| 19 | Mining exomic sequencing data to identify mutated antigens recognized by adoptively transferred tumor-reactive T cells显示文摘 | ROBBINS P F LU Y C EL-GAMIL M | 2013 | Nat Med2013，19，6： | 1 |
| 20 | A mutation in glyceraldehyde-3-phosphate dehydrogenase alters endocytosis in CHO cells显示文摘 | Robbins AR Ward RD Oliver C | 1995 | J Cell Biol1995，130，5： | 1 |
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