title: [Heterotopic accessory pancreas in surgical pathology: review of 23 years experience].
abstract: BACKGROUND
  The abnormal presence of the pancreatic tissue in other digestive organs is rare but sometimes is the cause of some surgical diseases.
  
  
  METHODS
  This retrospective study is focussed on heterotopic pancreas cases diagnosed in 2nd Surgical Clinic of "Sf. Spiridon" Emergency Hospital from Iaşi between Jan. 1986 and Dec. 2008.
  
  
  RESULTS
  22 patients (15 males/68.2% and 7 females/31.8%) aged between 23 and 76 years were grouped in A group--clinical symptomatic cases (3 patients/13.6%), group B--coincidental cases (17 patients/77.3%) and group C--incidental cases (2 patients/9%). Group A patients presented with obstructing prepyloric polypoid tumors and recquired antrectomy and gastroduodenal anastomosis. 13 patients of group B (76.4%) recquired surgery for pyloroduodenal stenosis and in 4 cases of this group with severe upper-GI bleeding, a subtotal gastric resection (3 patients) or antrectomy (1 case) was performed. In group C patients jejunal HP was histopathologically diagnosed during extensive intestinal resection for colonic malignancies (ascendant colonic and transverse colonic cancers) with jejunal invasion. HP cases were categorized as type I in 40.9% cases (ducts, acini and pancreatic islets), type II in 45.4% cases (ducts and acini) and type III (exclusively with ducts) in 13.6% cases. In 76% patients HP was localized in mucosal and submucosal layers, in 16% intramucosal and in 8% in subserous layer.
  
  
  CONCLUSIONS
  HP is most often an unexpected symptomless coincidental diagnosis during gastrointestinal surgical diseases.
authors: U.M.E Gr. T. Popa Iasi, Spitalul Clinic Judetean de Urgente "Sf. Spiridon", Clinica II Chirurgie, B-dul Indepenenţei 1, Iaşi, Romania, 700111. traiantaranu@yahoo.com
authors: T
authors: T
authors: Tăranu
authors: D
authors: D
authors: Vintilă
authors: N
authors: N
authors: Neacşu
authors: P
authors: P
authors: Popa
authors: C
authors: C
authors: Luncă
authors: F
authors: F
authors: Crumpei
authors: D
authors: D
authors: Rădulescu
authors: St O
authors: SO
authors: Georgescu
mesh_terms: D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D002828:Choristoma / Q000150:complications / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery*; D005260:Female; D017219:Gastric Outlet Obstruction / Q000175:diagnosis / Q000209:etiology / Q000473:pathology* / Q000601:surgery*; D006396:Hematemesis / Q000209:etiology; D006801:Humans; D033162:Incidental Findings; D008297:Male; D008875:Middle Aged; D010179:Pancreas; D011707:Pyloric Stenosis / Q000473:pathology / Q000601:surgery; D012189:Retrospective Studies; D016896:Treatment Outcome