Yamagiwa H, Ishihara A, Sekoguchi T, Matsuzaki O
Gastroenterol Jpn. 1977;12(5):380-6. doi: 10.1007/BF02774535.
The heterotopic pancreas collected from the surgically resected stomachs were studied clinico-pathologically. The number of cases of heterotopic pancreas were 64; 43 in the stomach and 21 in the duodenal bulbus. They were corresponded to 1.2% in the 5446 resected stomachs. The operated cases with this lesion were frequently found in the age of thirty to fifty with male predominance. Thirty eight cases of them were combined with other gastro-duodenal diseases, especially gastric or duodenal ulcers. About 90% of these lesions were found in the pylorus and antrum. They were situated frequently in the greater curvature, posterior and anterior wall, and rarely in the lesser curvature. Their size was ranged about 0.3 to 4.7 cm in diameter, and about 80% of them within 3 cm in diameter. Macroscopically, 49 polypoid, 8 nipple-like, 7 flat and 1 thickening folded lesions were found, respectively. The bridging folds were found in 9 cases, 13.8%. Microscopically, 30, 29 and 6 lesions of type I, II, and III types according to Heinrich's classification were found, respectively. The ulcer formation of the mucosal surface of the heterotopic pancreas was found at rate of 10%, and cystic transformation in about 6%.
对手术切除的胃中收集的异位胰腺进行了临床病理研究。异位胰腺病例数为64例；胃中43例，十二指肠球部21例。它们在5446例切除的胃中占1.2%。有此病变的手术病例多见于30至50岁，男性居多。其中38例合并其他胃十二指肠疾病，尤其是胃溃疡或十二指肠溃疡。这些病变约90%位于幽门和胃窦。它们常位于大弯、前后壁，很少位于小弯。其大小直径约为0.3至4.7厘米，约80%直径在3厘米以内。宏观上，分别发现49个息肉样、8个乳头样、7个扁平样和1个增厚褶皱样病变。9例发现桥接皱襞，占13.8%。微观上，根据海因里希分类分别发现I型、II型和III型病变30例、29例和6例。异位胰腺黏膜表面溃疡形成率为10%，囊性变约为6%。
