Clinical features and treatment of heterotopic pancreas in children: a multi-center retrospective study

Topic overview

Key takeaways

• Heterotopic pancreas in children is often asymptomatic (75% in this series), frequently discovered incidentally during evaluation for other conditions.
• Meckel's diverticulum is the most common location (47%), with 80% of these cases showing concurrent gastric mucosa heterotopia.
• Symptomatic presentation is more likely (75%) when heterotopic pancreas in Meckel's diverticulum occurs WITHOUT accompanying gastric mucosa heterotopia.
• Surgical or endoscopic resection is recommended even for asymptomatic cases due to risk of complications including obstruction, bleeding, and malignancy.
• Treatment approach (open, laparoscopic, or endoscopic) should be individualized based on patient age, lesion location and size, and coexisting pathology.

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