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Table 1 Characteristics of “asymptomatic patients” with duodenal PH (n = 56) (Indication for operation due to clinical presentation and symptoms)

From: Clinical impact of duodenal pancreatic heterotopia – Is there a need for surgical treatment?

Type of duodenal PH (according to Heinrich)

Age (mean) Sex (m/f)

Operation

Clinical presentation and symptomsa

Histology

Type 1 n = 26

57.4 years

(16/10)

1xpancreatectomie;

3xWhipple;

19× PPPD;

2× partial duodenal resection;

1× enucleation of the pancreas and the duodenum

11xobstructive jaundice

9xepigastric pain

6xrecurrent pancreatitis

duodenal stenosis

5xloss of weight

recurrent hypoglycemia

acid reflux

SCN

5xPDAC

5xIPMN

6xCP

5xAP

4xNET

Type 2 n = 24

55.9 years

(18/6)

19xPPPD

4xWhipple

Pancreas left resection

9xrecurrent pancreatitis

7xobstructive jaundice

10xepigastric pain

diarrhoe

3xdilatation pancreas duct

2xpseudocyst

2xduodenal stenosis

5xweight loss

gastric stenosis

2xcholestasis

4xIPMN

Carcinoma of the bile duct

3xAP

9xCP

2xNET

4xPDAC

SCN

Type 3 n = 6

57.2 years

(4/2)

5xPPPD

1xWhipple

2xrecurrent pancreatitis; 3xobstructive jaundice; 3xepigastric pain; 1xpseudocyst; 1xcystic tumor; 1xampullary tumor; 1xduodenal stenosis; 1× dilatation pancreatic duct

1xPDAC;

3xCP; 1xAP;

1xpancreas divisum

  1. amultiple answers possible;
  2. PDAC pancreatic ductal adenocarcinoma, CPchronic pancreatitis, APampullary carcinoma, SCN serous cystic neoplasia, IPMN intraductal papillary mucinous neoplasia, NET Neuroendocrine tumor