Outcome of Whipple's procedure for Groove pancreatitis: A retrospective cross-sectional study

Dhali, Arkadeep; Ray, Sukanta; Ghosh, Ranajoy; Misra, Debashis; Dhali, Gopal Krishna

doi:10.1016/j.amsu.2022.104008

Cited by 5 publications

(3 citation statements)

References 29 publications

(31 reference statements)

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“…Alcohol and nicotine abuse data were available in 37 and 23 studies, respectively. Seventy-nine per cent ( N = 886) of patients had a history of heavy chronic alcohol use 6 , 8 , 15 , 17–25 , 28–39 , 41–44 , 46–49 , 51–55 , and 83 per cent ( N = 595) were smokers 8 , 19 , 20 , 24 , 28 , 29 , 32 , 34–36 , 38 , 39 , 41–44 , 46–49 , 52 , 54 , 55 . Table 1 summarizes the baseline characteristics of the included studies.…”

Section: Resultsmentioning

confidence: 99%

Systematic review on groove pancreatitis: management of a rare disease

Ukegjini,

Steffen,

Tarantino

et al. 2023

BJS Open

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Background Groove pancreatitis is a focal form of chronic pancreatitis affecting the area of the paraduodenal groove. The aim of this systematic review was to assess the clinical presentation, diagnosis and treatment of patients with groove pancreatitis. Methods Medical literature databases (Embase, Medline via PubMed and Cochrane Central Register of Controlled Trials) were systematically searched for data recorded between 1 January 1990 and 31 August 2022 regarding patient characteristics, diagnosis, surgical treatment and outcomes. The following inclusion criteria were applied: RCTs, observational studies (cohort and case–control studies) and case studies with >3 cases including patients with groove pancreatitis undergoing medical, endoscopic or surgical treatment with available clinical and diagnostic data. Fisher’s exact test for binary data and Mann–Whitney U test or Student t-test for continuous data were adopted for statistical analysis. Results Of 649 studies, 44 were included, involving reports on 1404 patients with a mean age of 49 years. In 41 of the 44 studies in which patient gender was described, 86 per cent (N = 1023) of patients were male. Information on the risk factors of alcohol and nicotine was available in 37 and 23 studies, respectively. Seventy-nine per cent (N = 886) of patients had a history of excessive alcohol consumption and 83 per cent (N = 595) were smokers. Information on clinical symptoms was available in 37 of the 44 included studies and 78.5 per cent (N = 870) presented with abdominal pain. Some 27 studies comprising 920 groove pancreatitis patients were treatment oriented. Seventy-four per cent (N = 682) of patients were treated conservatively, 26.4 per cent (N = 134) underwent endoscopic treatment and 54.7 per cent (N = 503) required surgery. There was complete relief of symptoms in 35.6 per cent (N = 243) after conservative treatment, 55.2 per cent (N = 74) after endoscopic treatment and 69.6 per cent (N = 350) after surgical treatment. The median follow-up time was 42 months (range, 1–161 months). Conclusion Groove pancreatitis shows on imaging a typical triad: cystic lesions in the pancreatic duct or duodenal wall, calcifications, and thickenings of the duodenal wall. Surgery appears to be the most effective treatment modality.

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Section: Resultsmentioning

confidence: 99%

Systematic review on groove pancreatitis: management of a rare disease

Ukegjini,

Steffen,

Tarantino

et al. 2023

BJS Open

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“…Recently, along with the improvement of imaging techniques and the publication of radiological criteria, corroborated with the recognition of symptoms, this aspect has improved, as evidenced by the multitude of studies dedicated to the diagnosis and treatment of this condition in the last years. The incidence of groove pancreatitis varies between 2.7% and 24.5% in pancreaticoduodenectomies performed for chronic pancreatitis [7]. In a study conducted on 600 patients resected for chronic pancreatitis, Becker et al found various degrees of involvement of the groove area in 19.5% of the cases, the pure form being found in 2% of patients, the segmental form in 6.5%, while 11% of the patients showed lesions in the entire pancreatic parenchyma [8].…”

Section: Discussionmentioning

confidence: 99%

Pancreaticoduodenectomy with Anatomical Vascular Variant in Groove Pancreatitis – a Case Report

Breaza,

Dan,

Hut

et al. 2024

Preprint

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Groove pancreatitis represents a chronic focal form of pancreatitis affecting the zone between the pancreatic head and the duodenal „C” loop, known as the groove area. This is a rare condition that affects the pancreatic periampullary part, including the duodenum and the common bile duct, associated usually with long-term alcohol and tobacco misuse and being more frequent in men than in women. The most common clinical symptoms of groove pancreatitis include weight loss, acute abdominal pain, nausea, and jaundice. This report is about a 66 year old woman with a history of heavy smoking, presenting with weight loss, nausea, and upper abdominal pain. Contrast enhanced computed tomography revealed the existence of a chronic pancreatitis as well as the dilatation of the main pancreatic duct, a cyst of the pancreatic head and enlargement of the biliary tract. Conservatory treatment was initiated but with no improvement of symptoms. Since there was no indication for endoscopic retrograde cholangiopancreatography, we decided to perform a pancreatoduodenectomy, as surgery appears to be the single effective treatment.

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“…Recently, improvements in imaging techniques and the publication of radiological criteria have corroborated the recognition of symptoms, as evidenced by the multitude of studies dedicated to the diagnosis and treatment of this condition in recent years. The incidence of groove pancreatitis varies between 2.7% and 24.5% in pancreaticoduodenectomies performed for chronic pancreatitis [7]. In a study conducted on 600 patients resected for chronic pancreatitis, Becker et al found various degrees of involvement of the groove area in 19.5% of the cases; the pure form was found in 2% of patients, the segmental form in 6.5%, and 11% of the patients showed lesions in the entire pancreatic parenchyma [8].…”

Section: Discussionmentioning

confidence: 99%

Pancreaticoduodenectomy with Anatomical Vascular Variant in Groove Pancreatitis—A Case Report

Breaza,

Dan,

Hut

et al. 2024

Medicina

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Groove pancreatitis represents a chronic focal form of pancreatitis affecting the zone between the pancreatic head and the duodenal “C” loop, known as the groove area. This is a rare condition that affects the pancreatic periampullary part, including the duodenum and the common bile duct, which is usually associated with long-term alcohol and tobacco misuse, and is more frequent in men than in women. The most common clinical symptoms of groove pancreatitis include weight loss, acute abdominal pain, nausea, and jaundice. This report is about a 66-year-old woman with a history of heavy smoking, presenting with weight loss, nausea, and upper abdominal pain. Contrast-enhanced computed tomography revealed the existence of chronic pancreatitis as well as the dilatation of the main pancreatic duct, a cyst of the pancreatic head, and enlargement of the biliary tract. Conservatory treatment was initiated but with no improvement of symptoms. Since endoscopic retrograde cholangiopancreatography was not possible due to the local changes, we decided to perform pancreatoduodenectomy, as surgery appears to be the single effective treatment.

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Outcome of Whipple's procedure for Groove pancreatitis: A retrospective cross-sectional study

Cited by 5 publications

References 29 publications

Systematic review on groove pancreatitis: management of a rare disease

Systematic review on groove pancreatitis: management of a rare disease

Pancreaticoduodenectomy with Anatomical Vascular Variant in Groove Pancreatitis – a Case Report

Pancreaticoduodenectomy with Anatomical Vascular Variant in Groove Pancreatitis—A Case Report

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