Groove pancreatitis treated by duodenal and biliary bypass

Tahara, Kazunori; Kanamori, Yutaka; Miyake, Kazue; Kudo, Yumi; Fujita, Takuro; Kutsukake, Mai; Mori, Teizaburo; Yamada, Yasuaki; Fujino, Akihiro; Shimizu, Hirotaka; Arai, Katsuhiro; Tsutsumi, Yoshiyuki; Miyazaki, Osamu

doi:10.1016/j.epsc.2020.101540

Cited by 2 publications

(5 citation statements)

References 13 publications

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“…The groove area refers to the anatomic space between the pancreatic head medially, the second segment of the duodenum laterally, the third segment of the duodenum and inferior vena cava posteriorly, and the first segment of the duodenum superiorly [4]. GP is mainly associated with long-term alcohol intake and has also been reported in patients with known peptic ulcer disease and among children with a congenital origin [5].…”

Section: Discussionmentioning

confidence: 99%

Surgical Management of Groove Pancreatitis: A Case Report

Ioannidis

Menni

Tzikos

et al. 2023

JPM

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Groove pancreatitis (GP) is a chronic type of pancreatitis involving the groove area between the head of the pancreas, the duodenum, and the common bile duct. Alcohol abuse is one of the main pathogenetic factors, although its etiology is not clearly defined. Differential diagnosis of pancreatic disorders remains difficult. The lack of diagnostic management and the restrictive number of patients are the main barriers. This article presents a case of a 37-year-old male diagnosed with GP after several episodes of epigastric pain and vomiting, with a history of chronic alcohol consumption. The patient’s radiological and laboratory results excluded the possibility of malignancy and suggested the diagnosis of groove pancreatitis with duodenal stenosis. After initial conservative treatment failed, surgical management was decided. A gastroenteroanastomosis was made in order to bypass the duodenum aiming for a total resolution of the symptoms and an uneventful recovery of the patient. Although most studies suggest pancreatoduodenectomy (Whipple’s procedure) as the treatment of choice, a less major procedure can be performed in evidence of malignancy absence.

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Section: Discussionmentioning

confidence: 99%

Surgical Management of Groove Pancreatitis: A Case Report

Ioannidis

Menni

Tzikos

et al. 2023

JPM

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“…In the latter situation, the surrounding structures, such as the common biliary duct, duct of Wirsung or duodenum are progressively involved, leading to the development of jaundice, abdominal pain, weight loss or post-prandial vomiting (8,9). Mainly associated with chronic alcohol abuse, groove pancreatitis has been also described in patients with duodenal peptic ulcers or congenitally in children (3).…”

Section: Discussionmentioning

confidence: 99%

“…In cases in which the symptoms are solely produced by pancreatic duct obstruction, endoscopic procedures in order to provide an effective drainage of the pancreatic secretion via endoscopy may be taken in consideration (12). However, this method may not be applicable in cases presenting with severe duodenal stenosis or in which the pre-operative investigations could not exclude the association of malignant transformation (3). In cases in which conservative treatment fails and symptoms recur, surgery should be taken in consideration; in this respect, various procedures have been proposed, ranging from duodenal and biliary bypass, duodenum preserving pancreatic head resection or pancreatoduodenectomy (13,14); however, conservative procedures, such as bypass or segmental resections have been more commonly proposed in pediatric patients, cases in which the diagnosis of malignancy is not probable (3).…”

Section: Discussionmentioning

confidence: 99%

“…However, this method may not be applicable in cases presenting with severe duodenal stenosis or in which the pre-operative investigations could not exclude the association of malignant transformation (3). In cases in which conservative treatment fails and symptoms recur, surgery should be taken in consideration; in this respect, various procedures have been proposed, ranging from duodenal and biliary bypass, duodenum preserving pancreatic head resection or pancreatoduodenectomy (13,14); however, conservative procedures, such as bypass or segmental resections have been more commonly proposed in pediatric patients, cases in which the diagnosis of malignancy is not probable (3). Moreover, the necessity of resecting large malignant tumors alone or in association with vascular resections have led to the widespread use of pancreatoduodenectomy as the primary therapeutic option for patients with groove pancreatitis (15)(16)(17)(18).…”

Section: Discussionmentioning

confidence: 99%

“…Also known as paraduodenal pancreatitis, paraduodenal wall cyst, myoadenomatosis or cystic dystrophy, groove pancreatitis represents a distinct form of inflammation of the pancreatic groove and was first described by Becker in 1973 (1,2). The groove area refers to the narrow space located between the pancreatic head medially, the duodenum II laterally, the duodenum III and inferior vena cava posteriorly and the duodenum I superiorly (3). According to the study by Becker and Mischke (2), groove pancreatitis can present as pure-type or as segmental-type.…”

Section: Introductionmentioning

confidence: 99%

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Pancreatoduodenectomy for groove pancreatitis: A case report and literature review

Bacalbaşa

Bălescu²,

Dima

et al. 2021

Exp Ther Med

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Groove pancreatitis represents a rare pathological condition which is usually associated with chronic alcohol intake. However, the differential diagnosis between groove pancreatitis and groove pancreatic carcinoma is difficult to establish pre-operatively. In this respect, a significant number of cases are treated as malignant conditions, with the final diagnosis of benign disease being established post-operatively. The present study describes the case of a 46-year-old male who was diagnosed with groove pancreatitis. Due to the uncertainty of the pre-operative diagnosis, the patient was subjected to radical surgery consisting of pancreatoduodenectomy. The final histopathological diagnosis confirmed the presence of groove pancreatitis. Moreover, it excluded the possibility of an association with any element of malignancy and provided the effective management of the disease, all the symptoms being significantly alleviated at the 3-month follow-up. In addition, the present study also provides a brief summary and discussion of the disease and associated treatment options. On the whole, as demonstrated herein, pancreatoduodenectomy appears to be a safe and effective method for the treatment of groove pancreatitis, being associated with a significant improvement in the quality of life of the patient; moreover, it represents the sole method which can exclude the diagnosis of malignancy.

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Groove pancreatitis treated by duodenal and biliary bypass

Cited by 2 publications

References 13 publications

Surgical Management of Groove Pancreatitis: A Case Report

Surgical Management of Groove Pancreatitis: A Case Report

Pancreatoduodenectomy for groove pancreatitis: A case report and literature review

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