Groove Pancreatitis Vs Pancreatic Adenocarcinoma: A Review of 8 Cases

Sánchez‐Bueno, Francisco; Salmerón, Gloria Torres; Moral, Jesús de la Peña; Ruiz, Eduardo Ortiz; Quiñonero, Matilde Fuster; Zárate, Wilfredo Víctor Gutiérrez; Valderas, M.A. Claver; Paricio, Pascual Parrilla

doi:10.1016/j.cireng.2016.07.007

Cited by 8 publications

(13 citation statements)

References 22 publications

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“…As pathogenesis, heterotopic pancreatic lobules have ducts not connected to the pancreas ductal system. Accumulation of pancreatic juice can produce recurrent episodes of acute obstructive pancreatitis, leading to development of retention cysts (12,13) The patients have usually a late diagnosis, as there are no specific symptoms, and the nature and location of the cysts can be accurately described only by EUS or MRI (14,15). Diagnosis can be delayed from months to years (9), as it was 2 years in our patient.…”

Section: Discussionmentioning

confidence: 83%

Cystic Dystrophy of the Duodenal Wall in Heterotopic Pancreas with Groove Pancreatitis: A Diagnostic and Therapeutic Challenge

Barbu¹,

Valeanu²,

Muresan³

et al. 2018

chr

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A 48 years-old man, chronic alcohol consumer, with a history of recurrent mild acute pancreatitis episodes, was diagnosed in 2010 with segmental chronic pancreatitis complicated by a 4cm pseudocyst in the pancreatic head. He stopped drinking, but acute episodes continued to reoccur, while the pseudocyst disappeared. In 2012 the patient was admitted to our department with painful chronic pancreatitis and a new acute episode. EUS diagnosed a cystic dystrophy of the duodenal wall with groove pancreatitis, and endoscopic opening of the cysts into the duodenum was performed. Laparoscopic cholecystectomy was imposed by small gallbladder stones seen at EUS. After 6 months of silence, pain and acute episodes reappeared, imposing pancreatoduodenectomy. Patient is now well, without symptoms during 5 years of follow-up. Cystic dystrophy of heterotopic pancreas can be thought of in case of recurrent idiopathic acute pancreatitis. EUS is the best diagnosis tool, and can provide opening of the cysts into the duodenum. Surgery - pancreatoduodenectomy - offer best results.

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Section: Discussionmentioning

confidence: 83%

Cystic Dystrophy of the Duodenal Wall in Heterotopic Pancreas with Groove Pancreatitis: A Diagnostic and Therapeutic Challenge

Barbu¹,

Valeanu²,

Muresan³

et al. 2018

chr

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“…It is suggested that chronic consumption of alcohol takes to a more viscous and protein-rich pancreatic juice, which contributes to obstruction of these ducts [5]. Predisposing factors are also described by previous reports, as pancreatic heterotopias, peptic ulcers and gastric resections [2,3].…”

Section: Discussionmentioning

confidence: 85%

“…In this cases, most imaging studies shows a hyperechoic thickening of the duodenal wall. It is still possible, according to Wornski et al to define a classic sign of the malignant disease, described as a hyperechoic pancreatic head with anechoic ducts inside [2,3,6].…”

Section: Discussionmentioning

confidence: 99%

“…This condition was firstly described by french authors in 1970-Potet and Duclert-by publishing 4 cases which they described as "cystic dystrophy of the pancreas". In 1973, the "groove" term was named by Becker et al in case series of 117 patients in Germany [2]. The prevalence of this disease is very difficult to measure because most cases are underdiagnosed, but it stays around 24.5% of patients with chronic pancreatitis [1].…”

Section: Introduction mentioning

confidence: 99%

“…Most patients who present Groove pancreatitis are males, in the ages between 40-50 years old, which predisposing factors are still unknown. It is more prevalent in those who have chronic alcoholic ingestion background [1][2][3]. Other associated factors described by Sánchez-Bueno et al are: smoking, peptic ulcer and previous gastric surgical resections [2].…”

Section: Introduction mentioning

confidence: 99%

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Groove pancreatitis: a case report

Silva¹,

Santos²

2015

Revista Médica De Minas Gerais

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We report a case of groove pancreatitis in which clinical and endoscopic findings improved with conservative treatment. Most authors suggest more aggressive management, such as Whipple's surgery because of its similar findings to pancreatic carcinoma. Groove pancreatitis is a rare condition that requires more studies to establish diagnostic criteria to better classify the disease's stage and direct appropriated therapy for the patient, improving morbidity and survival of this disease.

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