Evidence map›Paper›PMID 31292813›Full record

ArticleSurgical case reports2019

A case of gastric heterotopic pancreas with gastroduodenal invagination.

Shoko Iwahashi, Masaaki Nishi, Toshiaki Yoshimoto, Hideya Kashihara, Chie Takasu, Takuya Tokunaga, Tomohiko Miyatani, Jun Higashijima, Kozo Yoshikawa, Yuma Wada and 2 more

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Article in Surgical case reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.2field-weighted citation impact, top 42% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 7 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 1 institution in 1 country.

Shoko IwahashiDepartment of Surgery, Tokushima University, Tokushima, 770-8503, Japan.
Masaaki NishiDepartment of Surgery, Tokushima University, Tokushima, 770-8503, Japan. nishi.masaaki@tokushima-u.ac.jp.
Toshiaki YoshimotoDepartment of Surgery, Tokushima University, Tokushima, 770-8503, Japan.
Hideya KashiharaDepartment of Surgery, Tokushima University, Tokushima, 770-8503, Japan.
Chie TakasuDepartment of Surgery, Tokushima University, Tokushima, 770-8503, Japan.
Takuya TokunagaDepartment of Surgery, Tokushima University, Tokushima, 770-8503, Japan.
Tomohiko MiyataniDepartment of Surgery, Tokushima University, Tokushima, 770-8503, Japan.
Jun HigashijimaDepartment of Surgery, Tokushima University, Tokushima, 770-8503, Japan.
Kozo YoshikawaDepartment of Surgery, Tokushima University, Tokushima, 770-8503, Japan.
Yuma WadaDepartment of Surgery, Tokushima University, Tokushima, 770-8503, Japan.
Yoshimi BandoDepartment of Division of Pathology, Tokushima University, 3-18-15 Kuramoto-cho, Tokushima, 770-8503, Japan.
Mitsuo ShimadaDepartment of Surgery, Tokushima University, Tokushima, 770-8503, Japan.
Tokushima University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHeterotopic pancreas (HP) is a rare disease commonly found incidentally on imaging studies, at endoscopy or at autopsy and can be associated with abdominal pain, vomiting, heart burn, gastric outlet obstruction, and even dysphagia in very rare cases. Heinrich's classified HP into three groups, types1-3, with Heinrich's type 3 HP the rarest and difficult to diagnose properly because it has only pancreatic ducts but has no islet and acini. The aim of this study is to report a case of gastric outlet obstruction caused by type 3 HP with gastroduodenal invagination with reference to the literature and diagnosed finally by immuno-histochemical analysis. CASE PRESENTATION: The case presented is a 40-year-old male presenting with vomiting and abdominal pain. Computed tomography (CT) revealed a cystic mass in the upper abdomen and he was referred to the Tokushima University. Gastric fiber showed that the pedunculated mass originated from the stomach. An open distal gastrectomy was performed. Pathologically, there was small glands proliferation in the sub-mucosal (SM) layer which was membrane and cytoplasm (MUC)1 positive and muscle proliferation.

resultsThis finding revealed the tumor as HP. Postoperative course was uneventful and the patient was discharged 12 days after surgery. The patient has remained well 12 months after surgery.

conclusionsHP should be considered in the differential diagnosis of SM tumors with gastroduodenal invagination even if this is a rare symptom.

Indexed as

Gastric heterotopic pancreasGastroduodenal invagination

Identifiers

PMID31292813
PMCPMC6620227
OpenAlexW2962023482

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.