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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 | Hormone-regulated genes-(pS2,PIP,FAS) in breast cancer and nontumoral mammary tissue显示文摘 | Harvey J Robbins P | 1995 | Pathobiology,1995，62，： | 1 |
| 4 | The tumor suppressor gene PTEN can regulate cardiac hypertrophy and survival显示文摘 | Robbins J | 2001 | J Biol Chem2001，，： | 1 |
| 5 | Magnetism from conductors and enhanced nonlinear phenomena显示文摘 | Holden A J Robbins D J | 1999 | IEEE Transactions on Microwave Theory and Techniques1999，47，11： | 1 |
| 6 | Magnetism from conductors and enhanced nonlinear phenomena显示文摘 | PENDRY J B HOLDEN A J ROBBINS D J | 1999 | IEEE Trans Microwave Theory Tech1999，47，11： | 1 |
| 7 | Diffuse alveolar hemorrhage in autologous bone marrow transplant recipients 显示文摘 | Robbins RA Linder J Stahl MG | 1989 | Am J Med1989，87，： | 1 |
| 8 | Phosphine residues from phostoxin- treated grain 显示文摘 | Bruce R B Robbins A J Tuft T O | 1962 | Journal of Agricultural and Food Chemistry1962，10，1： | 1 |
| 9 | 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 |
| 10 | 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 |
| 11 | Analysis of piezoelectrically actuated beams using a layer-wise displacement theory显示文摘 | Robbins D H Reddy J N | 1991 | Comput Struct1991，41，2： | 1 |
| 12 | Determination of recent sedimentation rates in Lake Michigan using Pb-210 and Cs-137显示文摘 | Robbins J A Edgington D N | 1975 | Geochimica et Cosmochimica Acta1975，39，： | 1 |
| 13 | 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 |
| 14 | 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 |
| 15 | Dopaminergic basis for deficits in working memory but not attentional set-shifting in Parkinson' s disease 显示文摘 | Lewis S J Slabosz A Robbins T W | 2005 | Neuropsychologia2005，43，6： | 1 |
| 16 | Heart failure and protein quality control显示文摘 | Wang X Robbins J | 2006 | Circ Res2006，99，12： | 1 |
| 17 | Assessing the impact of cam- paign finance on party system institutionalization显示文摘 | Booth E Robbins J | 2010 | Party Poli- ties2010，16，5： | 1 |
| 18 | Inducible nitric oxidesynthase is increased in murine lung epithelial cells by cytokine stimula-tion显示文摘 | Robbins R A Springall D R Warren J B | 1994 | Biochem Biophys Res Comniun1994，198，3： | 1 |
| 19 | Association of albuminuria with systolic and diastolic left ventricular dysfunction in type 2 diabetes显示文摘 | Liu J E Robbins DC Palmieri V | 2003 | J Am Coll Cardiol2003，41，： | 1 |
| 20 | Magnetism from conductors and enhanced nonlinear phenomena显示文摘 | PENDRY J B HOLDEN A J ROBBINS D J | 1999 | IEEE Trans Microw Theory Tech1999，47，11： | 1 |
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