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Surgical Management of Groove Pancreatitis: Lessons Learnt and Long-Term Experience
Lokesh Agarwal1, Kaushal Singh Rathore1, Vaibhav Kumar Varshney2
1Department of Surgical Gastroenterology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, 342005, India.
Digestive Diseases and Sciences
|April 9, 2025
Summary
Groove pancreatitis (GP) is a rare condition. Surgical management, especially pancreato-duodenectomy (PD), effectively relieves symptoms and improves quality of life for most patients with GP.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
- Pancreatic Diseases
Background:
- Groove pancreatitis (GP) is a rare focal chronic pancreatitis variant.
- Characterized by inflammation in the groove between the duodenal wall and pancreatic head.
- Diagnosis and management present unique challenges.
Purpose of the Study:
- To review surgical experience in diagnosing and managing GP.
- Evaluate outcomes of surgical interventions at a tertiary care center.
- Assess impact on pain and quality of life.
Main Methods:
- Retrospective, cross-sectional study (Jan 2017-Dec 2023).
- Included 11 patients with confirmed GP.
- Data collected on demographics, clinical history, imaging, surgery, and outcomes.
- Pain (Izbicki score) and QOL (SF-36) assessed pre- and post-operatively.
Main Results:
- Median diagnostic delay of 14 months.
- Common symptoms: abdominal pain, gastric outlet obstruction, jaundice.
- Pancreato-duodenectomy (PD) performed in 10/11 patients.
- Significant improvement in pain and QOL at 12-month follow-up (p < 0.001).
- Post-operative complications included pancreatic fistula and delayed gastric emptying.
Conclusions:
- GP is rare, complex, and challenging to diagnose and manage.
- Surgical treatment, particularly PD, offers effective symptom relief.
- Improved quality of life is achievable for most GP patients post-surgery.
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