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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