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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 | The tumor suppressor gene PTEN can regulate cardiac hypertrophy and survival显示文摘 | Robbins J | 2001 | J Biol Chem2001，，： | 1 |
| 3 | Neck dissection classifi-cation update: revisions proposed by the American Head and NeckSociety and the American Academy of Otolaryngology -Head andNeck Surgery 显示文摘 | Robbins KT dayman G Levine PA | 2002 | Arch Otolaryngol Head Neck Surg2002，1287，： | 1 |
| 4 | 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 |
| 5 | The Argasidae, Ixodidae and Nuttalliellidae (Acari: Ixodida) of the world: a list of valid species names显示文摘 | GUGLIELMONE A A ROBBINS R G APANASKEVICH D A | 2010 | Zootaxa2010，2528，： | 1 |
| 6 | Updated Clinical Classification of Pulmonary Hypertension显示文摘 | Gérald Simonneau Ivan M. Robbins Maurice Beghetti Richard N. Channick Marion Delcroix Christopher P. Denton C. Gregory Elliott Sean P. Gaine Mark T. Gladwin Zhi-Cheng Jing Michael J. Krowka David Langleben Norifumi Nakanishi Rogério Souza | 2009 | Journal of the American College of Cardiology2009，，1： | 1 |
| 7 | Renal imaging with ultrasound contrast显示文摘 | Michelle L Robbin Mark E Lockhart Richard G Barr | 2003 | Radiologic Clinics of North America2003，，5： | 1 |
| 8 | Plume Distor-tion and Apparent Attenuation Due to Concentration Aver-aging in Monitoring Wells显示文摘 | MARTIN-HAYDEN J M ROBBINS G A | 1997 | Ground Water1997，35，2： | 1 |
| 9 | Neck dissection classification updates: revisions proposed by the American Head and Neck Society and the American Academy of Otolaryngology- Head and Neck Surgery显示文摘 | Robbins KT Clayman G Levine PA | 2002 | Arch Otolaryngol Head Neck Surg2002，128，7： | 1 |
| 10 | Primers amplifying a range of Prunus S-alleles显示文摘 | Sutherland B G Robbins T P Tobutt K R | 2004 | Plant Breeding2004，123，： | 1 |
| 11 | The cloning of a family of genes that encode the melanocortin receptors显示文摘 | Mountjoy K G Robbins L S Mortrud M T | 1992 | Science1992，257，5074： | 1 |
| 12 | Biomarkers and health--related quality of life in end stage renal disease: a systematic review 显示文摘 | Spiegel B M Melmed G Robbins S | 2008 | Clin J Am Soc Nephrol2008，3，6： | 1 |
| 13 | Neck dissection classification update:revisiongs proposed by the American Head and Neck Society and the American Academy of Otolaryngology-Head and Neck Surgery显示文摘 | Robbins KT Clayman G Levine PA | 2002 | Arch Otolayngol Head Neck Surg2002，128，： | 1 |
| 14 | Updated clin-ical classification of pulmonary hypertension显示文摘 | Simonneau G Robbins IM Beghetti M | 2009 | J Am CollCardiol2009，54，1： | 1 |
| 15 | The cloning of a family of genes that encode the melano- eortin receptors显示文摘 | Mountjoy K G Robbins L S Mortrud M T | 1992 | Science1992，257，12： | 1 |
| 16 | Cognitive enhances in theory and practice:studies of the cholinergic hypothesis of cognitive deficits in Alzheimers′s disease显示文摘 | Robbins TW McAlonan G Muir JL | 1997 | Behav Brain Res1997，83，12： | 1 |
| 17 | The tumor suppressor gene PTEN can regulate cardiac hypertrophy and survival显示文摘 | SCHWARTZBAUER G ROBBINS J | 2001 | J Biol Chem2001，276，35： | 1 |
| 18 | Neck dissection classification update显示文摘 | Robbins K T Clayman G Levine P A | 2002 | Arch Otolaryngol Head Neck Surg2002，128，7： | 1 |
| 19 | The tumor suppressor gene PTENcan regulate candiac hypertrophy and survival显示文摘 | Schwartzbauer G Robbins J | 2001 | J BiologicalChemistry2001，43，1： | 1 |
| 20 | Soluble triggering receptor expressed on myeloid cell-1 is increased in patients with ventilator-as- sociated pneumonia:a preliminary report显示文摘 | Horonenko G Hoyt JC Robbins RA | 2007 | Chest2007，132，1： | 1 |
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