Heterotopic pancreas: report of 7 patients.
Heterotopic pancreas: report of 7 patients.
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发表时间：
2002-05
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通讯作者：
Hong-qi Shi;Qi-yu Zhang;H. Teng;Ji-Cai Chen
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作者：
Hong-qi Shi;Qi-yu Zhang;H. Teng;Ji-Cai Chen
目的探讨异位胰腺的临床特点、诊断及手术治疗。方法1992年8月至1999年3月，对7例异位胰腺患者进行手术治疗。结果7例患者中，异位胰腺4例位于十二指肠，2例位于空肠，1例位于胃。腹痛4例，黄疸3例，十二指肠梗阻1例，消化道出血1例。3例合并胆石症，1例合并空肠憩室。所有7例患者术前均被误诊或未确诊。他们接受了手术，病理证实。结论异位胰腺患者无特殊临床症状，术前诊断异常困难。一旦诊断出症状，无论是否有症状，都应进行手术，以正确诊断，避免相关并发症。
OBJECTIVE To discuss the clinical features of patients with heterotopic pancreas, their diagnosis and surgical treatment. METHODS Seven patients with heterotopic pancreas were treated surgically in our hospital from August 1992 to March 1999. RESULTS Of the 7 patients, 4 had heterotopic pancreas located in the duodenum, 2 in the jejunum, and 1 in the stomach. Four patients experienced abdominal pain, 3 icterus, 1 duodenal obstruction, and 1 digestive tract bleeding. Three patients were complicated by cholelithiasis, and 1 patient was complicated by diverticulum of the jejunum. All seven patients were misdiagnosed or undefined preoperatively. They underwent surgery and were confirmed pathologically. CONCLUSIONS Heterotopic pancreas is extremely difficult to diagnose before operation since no specific clinical signs are seen in such patients. Once diagnosed with symptoms or not, the patients should undergo surgery for correct diagnosis and avoidance of relative complications.