Pancreatitis of the Gastroduodenal Groove: A Case Report

German, V. N.; Ekmektzoglou, Konstantinos; Kyriakos, Nikolaos; Patouras, Paraskevas; Kikilas, Athanasios

doi:10.1155/2010/329587

Cited by 6 publications

(7 citation statements)

References 14 publications

(16 reference statements)

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“…It has also been reported that diarrhea or diabetes mellitus are commonly associated with GP (15). The clinical symptoms of the syndrome spread over the time span ranging from a few weeks to a year, then the GP becomes chronic (16). In a high number of patients with alcohol abuse, obstructive jaundice has been observed especially in the course of chronic disease if late stenosis of the CBD has occurred (17).…”

Section: Clinical Presentationmentioning

confidence: 99%

Groove pancreatitis: a challenging imaging diagnosis

Addeo¹,

Beccani²,

Cozzi³

et al. 2019

Gland Surg.

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Groove pancreatitis (GP) is an uncommon form of chronic pancreatitis (CP) involving the space between duodenum, pancreatic head and common bile duct (CBD) known as pancreatic-duodenal groove.Although an association with long-standing ethanol assumption is reported a definite etiology of GP is unknown. Since thickening of the duodenal wall, pancreatic head enlargement, CBD stricture and dilatation of pancreatic duct system are common findings the differential diagnosis with pancreatic head neoplasm by means of imaging can be challenging. However, some imaging findings such as fibrotic changes of the pancreatic groove and presence of duodenal wall cysts may suggest the correct diagnosis. In this paper we review clinical and imaging features of GP with emphasis on computed tomography (CT) and magnetic resonance imaging (MRI) findings.

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Section: Clinical Presentationmentioning

confidence: 99%

Groove pancreatitis: a challenging imaging diagnosis

Addeo¹,

Beccani²,

Cozzi³

et al. 2019

Gland Surg.

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“…Thus, PD is considered to be an invasive procedure for GP treatment. DPPHR has also been performed in certain cases and has achieved satisfactory results of symptom relief ( 3 , 4 , 8 ). Another technique is PPDR, which is particularly suitable for cases with significant duodenal involvement.…”

Section: Discussionmentioning

confidence: 99%

“…The pathogenesis of GP remains unclear, and a specific treatment strategy has yet to be established ( 4 ). The reported treatments of GP include medical ( 3 , 4 ), endoscopic ( 5 ) or surgical approaches ( 3 , 4 , 6 – 8 ), according to the clinical features of the condition. The main drawback of nonsurgical approaches is the high risk of recurrence of symptoms subsequent to treatment cessation ( 5 , 9 ).…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, surgical treatment is considered a good choice for GP when the symptoms are not significantly improved or are recurrent following medicine or endoscopic treatment, or in cases with a suspicion of malignancy. Surgical methods reported in the literature include cephalic pancreaticoduodenectomy (PD; also known as the Whipple technique) ( 6 , 7 ), duodenum-preserving pancreatic head resection (DPPHR) ( 3 , 4 , 8 ), pancreas-preserving duodenal resection (PPDR) ( 4 ), or a simple draining procedure ( 10 ). The present study reported the use of a novel surgical procedure for GP, known as groove resection of pancreatic head (GRPH), which is less invasive compared with other surgical methods.…”

Section: Introductionmentioning

confidence: 99%

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Groove resection of pancreatic head in groove pancreatitis: A case report

Zhu

Huang

Zhu

et al. 2017

Experimental and Therapeutic Medicine

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Groove pancreatitis (GP) is a rare type of chronic pancreatitis, which primarily affects the groove area of the pancreatic head. Surgery is considered as the ultimate method for GP if the symptoms are not improved by conservative or endoscopic treatments, and the Whipple technique is the common choice at present. The present study introduces a novel surgical procedure for GP, namely groove resection of pancreatic head (GRPH), in a 56-year-old male patient. To the best of our knowledge, this is the first report on GRPH for the surgical treatment of GP. This patient was diagnosed with typical GP without any evidence of malignancy, based on imaging studies and gastrointestinal endoscopy, and was treated with GRPH. Briefly, only the groove area of the pancreatic head was resected, while the duodenum, the main pancreatic duct and the majority of the pancreatic head were preserved. A complete relief of abdominal pain and a weight gain were achieved 2 months after surgery. Endoscopic examination indicated marked improvement of the duodenal lesions. In conclusion, GRPH is a less invasive surgical procedure for GP compared with other surgical procedures and may be an alternative for the surgical treatment of GP without severe lesions or stenosis of the duodenum.

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“…La presencia de ictericia es usualmente fluctuante, excepto cuando cursa con cáncer de páncreas o colangitis (18,19). El curso de la enfermedad es crónico, y puede ser de años en relación con la aparición de los síntomas y el diagnóstico (20).…”

Section: Presentación Clínicaunclassified

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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Pancreatitis of the Gastroduodenal Groove: A Case Report

Cited by 6 publications

References 14 publications

Groove pancreatitis: a challenging imaging diagnosis

Groove pancreatitis: a challenging imaging diagnosis

Groove resection of pancreatic head in groove pancreatitis: A case report

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

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