Characteristic clinical and pathologic features for preoperative diagnosed groove pancreatitis
김주동, 한영석, 최동락,
소속 상세정보
김주동 ( Kim Joo-Dong )
Catholic University of Daegu College of Medicine Department of Surgery
한영석 ( Han Young-Seok )
Catholic University of Daegu College of Medicine Department of Surgery
최동락 ( Choi Dong-Lak )
Catholic University of Daegu College of Medicine Department of Surgery
KMID : 0371320110800050342
Abstract
Purpose: Groove pancreatitis is a rare specific form of chronic pancreatitis that extends into the anatomical area between the pancreatic head, the duodenum, and the common bile duct, which are referred to as the groove areas. We present the diagnostic modalities, pathological features and clinical outcomes of a series of symptomatic patients with groove pancreatitis who underwent pancreaticoduodenectomy.
Methods: Six patients undergoing pancreaticoduodenectomy between May 2006 and May 2009 due to a clinical diagnosis of symptomatic groove pancreatitis were retrospectively included in the study.
Results: Five cases were male and one case was female, with a median age at diagnosis of 50 years. Their chief complaints were abdominal pain and vomiting. Abdominal computed tomography, endoscopic ultrasound and endoscopic retrograde cholangiopancreatography were performed. Preoperative diagnosis of all patients was groove pancreatitis. Histological finding was compatible with clinically diagnosed groove pancreatitis in five patients and the pathologic diagnosis of the remaining patient was adenocarcinoma of distal common bile duct. Following pancreaticoduodenectomy, four living patients experienced significant pain alleviation.
Conclusion: The diagnostic imaging modalities of choice for groove pancreatitis are computed tomography and endoscopic ultrasonography. If symptomatic groove pancreatitis is suspected, careful follow-up of patients is necessary and pancreaticoduodenectomy seems to be a reasonable treatment option.
키워드
Pancreaticoduodenal groove; Pancreatitis; Chronic disease; Pancreatic cancer; Pancreaticoduodenectomy
원문 및 링크아웃 정보
등재저널 정보