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 |