Clinical and Morphological Features of Duodenal Cystic Dystrophy in Heterotopic Pancreas View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2007-02-23

AUTHORS

Vinciane Rebours, Philippe Lévy, Marie-Pierre Vullierme, Anne Couvelard, Dermot O'Toole, Alain Aubert, Laurent Palazzo, Alain Sauvanet, Pascal Hammel, Frédérique Maire, Philippe Ponsot, Philippe Ruszniewski

ABSTRACT

BACKGROUND AND AIMS: Cystic dystrophy in heterotopic pancreas (CDHP) is an uncommon complication of pancreatic heterotopia, only described in surgical series, whose natural history is not known. The aim of this study was to determine clinical and morphological features of CDHP in a medical-surgical series of patients and to ascertain the relationship of CDHP with chronic pancreatitis (CP) in the pancreas proper. METHODS: All patients who had duodenal CDHP diagnosed radiologically both with CT scan and endoscopic ultrasonography between 1995 and 2004 were included. The diagnosis was confirmed by surgical specimens when available. RESULTS: One hundred five patients were included (91% men, 86% chronic alcoholic) with a median follow-up of 15 months. The median age at first symptoms was 46 yr. CDHP was associated with CP in the pancreas proper in 71% of patients. Presenting symptoms were pancreatic pain (91%), severe weight loss (73%), acute pancreatitis (45%), vomiting (30%), steatorrhea (23%), diabetes mellitus (20%), jaundice (13%), and upper gastrointestinal hemorrhage (5%). Cysts were multiple in 75% (median 3). The median diameter of the largest cyst was 10 mm. Endoscopy was normal in 36% of patients and showed duodenal stenosis in 52% (complete 6%, incomplete 46%). Surgical treatment was necessary in only 27% of patients (Whipple procedure 16%). CONCLUSIONS: CDHP may arise in patients with or without CP and with or without chronic alcoholism. Symptoms may be severe but warrant surgery in less than one-third of patients. More... »

PAGES

ajg2007160

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1111/j.1572-0241.2007.01091.x

DOI

http://dx.doi.org/10.1111/j.1572-0241.2007.01091.x

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1044841495

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/17324133


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22 schema:description BACKGROUND AND AIMS: Cystic dystrophy in heterotopic pancreas (CDHP) is an uncommon complication of pancreatic heterotopia, only described in surgical series, whose natural history is not known. The aim of this study was to determine clinical and morphological features of CDHP in a medical-surgical series of patients and to ascertain the relationship of CDHP with chronic pancreatitis (CP) in the pancreas proper. METHODS: All patients who had duodenal CDHP diagnosed radiologically both with CT scan and endoscopic ultrasonography between 1995 and 2004 were included. The diagnosis was confirmed by surgical specimens when available. RESULTS: One hundred five patients were included (91% men, 86% chronic alcoholic) with a median follow-up of 15 months. The median age at first symptoms was 46 yr. CDHP was associated with CP in the pancreas proper in 71% of patients. Presenting symptoms were pancreatic pain (91%), severe weight loss (73%), acute pancreatitis (45%), vomiting (30%), steatorrhea (23%), diabetes mellitus (20%), jaundice (13%), and upper gastrointestinal hemorrhage (5%). Cysts were multiple in 75% (median 3). The median diameter of the largest cyst was 10 mm. Endoscopy was normal in 36% of patients and showed duodenal stenosis in 52% (complete 6%, incomplete 46%). Surgical treatment was necessary in only 27% of patients (Whipple procedure 16%). CONCLUSIONS: CDHP may arise in patients with or without CP and with or without chronic alcoholism. Symptoms may be severe but warrant surgery in less than one-third of patients.
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30 CT
31 Duodenal Cystic Dystrophy
32 acute pancreatitis
33 age
34 aim
35 alcoholism
36 background
37 chronic alcoholism
38 chronic pancreatitis
39 complications
40 cystic dystrophy
41 cysts
42 diabetes mellitus
43 diagnosis
44 diameter
45 duodenal CDHP
46 duodenal stenosis
47 dystrophy
48 endoscopic ultrasonography
49 endoscopy
50 features
51 first symptoms
52 gastrointestinal hemorrhage
53 hemorrhage
54 heterotopia
55 heterotopic pancreas
56 history
57 jaundice
58 large cysts
59 loss
60 median age
61 median diameter
62 medical-surgical series
63 mellitus
64 months
65 morphological features
66 natural history
67 one-third
68 pain
69 pancreas
70 pancreatic heterotopia
71 pancreatic pain
72 pancreatitis
73 patients
74 relationship
75 relationship of CDHP
76 series
77 severe weight loss
78 specimens
79 steatorrhea
80 stenosis
81 study
82 surgery
83 surgical series
84 surgical specimens
85 surgical treatment
86 symptoms
87 treatment
88 ultrasonography
89 uncommon complication
90 upper gastrointestinal hemorrhage
91 warrant surgery
92 weight loss
93 yr
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