Groove pancreatitis with duodenal stenosis

Ubiña, C. Viñolo; Ruiz, Juan Andrés Rodríguez; Carrasco, C Heredia; Jiménez, M. Ruiz-Cabello; Herrera, María Trinidad Villegas; Lara, Daniel Garrote

doi:10.4321/s1130-01082010000100012

Cited by 5 publications

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“… 1 , 7 , 8 , 9 The clinical presentation is similar to more prevalent forms of chronic pancreatitis, but recurrent vomiting due to duodenal stricture and impaired motility tends to be more frequent in groove pancreatitis. 2 However, the majority of cases had a mild CBD dilatation, insufficient to cause obstructive jaundice. 9…”

Section: Discussionmentioning

confidence: 99%

“… 1 The crucial differential diagnosis is a head pancreas adenocarcinoma, since the management and prognosis are different. 1 , 2 , 9 , 11 Magnetic resonance is more sensible and specific to detect findings, the most common being a sheet-like mass between the pancreas head and duodenum with duodenal wall cystic changes and thickening. 6 , 10 …”

Section: Discussionmentioning

confidence: 99%

“…Groove pancreatitis is a rare and under-recognized subtype of chronic pancreatitis that affects the anatomical region composed by the duodenum, pancreatic cephalic portion and common biliary duct (CBD). 1 , 2 , 3 The prevalence of this condition in pancreaticoduodenectomy specimens of patients with chronic pancreatitis has been reported to be as high as 24.5%. 4 Pathogenesis is still unclear, but it involves a fibrotic inflammation, 5 that could cause biliary stricture, with obstructive jaundice or duodenal stricture along with vomiting.…”

Section: Introductionmentioning

confidence: 99%

“…In rare cases of clinical relevant biliary or duodenal stenosis, surgical treatment is necessary. 2 , 6 …”

Section: Introductionmentioning

confidence: 99%

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Groove Pancreatitis with Biliary and Duodenal Stricture: An Unusual Cause of Obstructive Jaundice

Gravito-Soares

Alves

et al. 2016

GE Portuguese Journal of Gastroenterology

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IntroductionGroove pancreatitis is an uncommon cause of chronic pancreatitis that affects the groove anatomical area between the head of the pancreas, duodenum, and common bile duct.Clinical caseA 67-year-old man with frequent biliary colic and an alcohol consumption of 30–40 g/day was admitted to the hospital complaining of jaundice and pruritus. Laboratory analysis revealed cholestasis and the ultrasound scan showed intra-hepatic biliary ducts dilatation, middle third cystic dilatation of common bile duct, enlarged Wirsung and pancreatic atrophy. The magnetic resonance cholangiopancreatography showed imaging findings compatible with groove pancreatitis. An esophagogastroduodenoscopy later excluded duodenal neoplasia. He was submitted to a Roux-en-Y cholangiojejunostomy because of common bile duct stricture. Five months later a gastrojejunostomy was performed due to a duodenal stricture. The patient remains asymptomatic during follow-up.DiscussionGroove pancreatitis is a benign cause of obstructive jaundice, whose main differential diagnosis is duodenal or pancreatic neoplasia. When this condition causes duodenal or biliary stricture, surgical treatment can be necessary.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…In rare cases of clinical relevant biliary or duodenal stenosis, surgical treatment is necessary. 2 , 6 …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Groove Pancreatitis with Biliary and Duodenal Stricture: An Unusual Cause of Obstructive Jaundice

Gravito-Soares

Alves

et al. 2016

GE Portuguese Journal of Gastroenterology

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“…La importancia de la pancreatitis del surco está dada por su capacidad de simular al carcinoma de páncreas (10). También hay casos descritos de coexistencia o incluso enmascaramiento de la entidad (14), por lo que debe ser considerada en el diagnóstico diferencial de masas pancreáticas o estenosis duodenal (15,16).…”

Section: Imágenesunclassified

Pancreatitis del surco (groove) que imita cáncer de páncreas: presentación de un caso y revisión de la literatura

Parga-Bermúdez

Gómez-Zuleta

2021

Rev colomb Gastroenterol

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La pancreatitis del surco (PS) o “groove pancreatitis”, es una forma de pancreatitis crónica infrecuente; nombrada así por su localización en el surco pancreatoduodenal. Suele predominar en varones con antecedente de ingesta de alcohol. Es de gran importancia realizar diagnóstico diferencial con cáncer de páncreas, dada su ubicación. Los avances en los métodos diagnósticos, como la ultrasonografía endoscópica, han permitido un abordaje más certero, sin embargo, no se cuenta con guías de manejo y las aproximaciones terapéuticas siguen siendo basadas en patologías similares.

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