{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T19:10:58Z","timestamp":1774293058233,"version":"3.50.1"},"reference-count":26,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2023,4,8]],"date-time":"2023-04-08T00:00:00Z","timestamp":1680912000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JPM"],"abstract":"<jats:p>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\u2019s 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\u2019s procedure) as the treatment of choice, a less major procedure can be performed in evidence of malignancy absence.<\/jats:p>","DOI":"10.3390\/jpm13040644","type":"journal-article","created":{"date-parts":[[2023,4,10]],"date-time":"2023-04-10T03:26:06Z","timestamp":1681097166000},"page":"644","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Surgical Management of Groove Pancreatitis: A Case Report"],"prefix":"10.3390","volume":"13","author":[{"given":"Aristeidis","family":"Ioannidis","sequence":"first","affiliation":[{"name":"1st Propaedeutic Department of Surgery, Aristotle\u2019s University of Thessaloniki, AHEPA University Hospital, 54634 Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4978-1042","authenticated-orcid":false,"given":"Alexandra","family":"Menni","sequence":"additional","affiliation":[{"name":"1st Propaedeutic Department of Surgery, Aristotle\u2019s University of Thessaloniki, AHEPA University Hospital, 54634 Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1095-8709","authenticated-orcid":false,"given":"Georgios","family":"Tzikos","sequence":"additional","affiliation":[{"name":"1st Propaedeutic Department of Surgery, Aristotle\u2019s University of Thessaloniki, AHEPA University Hospital, 54634 Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-4110-433X","authenticated-orcid":false,"given":"Eleni","family":"Ioannidou","sequence":"additional","affiliation":[{"name":"1st Propaedeutic Department of Surgery, Aristotle\u2019s University of Thessaloniki, AHEPA University Hospital, 54634 Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georgia","family":"Makri","sequence":"additional","affiliation":[{"name":"1st Propaedeutic Department of Surgery, Aristotle\u2019s University of Thessaloniki, AHEPA University Hospital, 54634 Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angeliki","family":"Vouchara","sequence":"additional","affiliation":[{"name":"1st Propaedeutic Department of Surgery, Aristotle\u2019s University of Thessaloniki, AHEPA University Hospital, 54634 Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patroklos","family":"Goulas","sequence":"additional","affiliation":[{"name":"1st Propaedeutic Department of Surgery, Aristotle\u2019s University of Thessaloniki, AHEPA University Hospital, 54634 Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7094-0338","authenticated-orcid":false,"given":"Eleni","family":"Karlafti","sequence":"additional","affiliation":[{"name":"Emergency Department, Aristotle\u2019s University of Thessaloniki, AHEPA University Hospital, 54634 Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Psoma","sequence":"additional","affiliation":[{"name":"Department of Radiology, Aristotle\u2019s University of Thessaloniki, AHEPA University Hospital, 54634 Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xanthipi","family":"Mavropoulou","sequence":"additional","affiliation":[{"name":"Department of Radiology, Aristotle\u2019s University of Thessaloniki, AHEPA University Hospital, 54634 Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9787-7391","authenticated-orcid":false,"given":"Daniel","family":"Paramythiotis","sequence":"additional","affiliation":[{"name":"1st Propaedeutic Department of Surgery, Aristotle\u2019s University of Thessaloniki, AHEPA University Hospital, 54634 Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,4,8]]},"reference":[{"key":"ref_1","first-page":"198","article-title":"A special form of segmental pancreatitis: \u201cgroove pancreatitis\u201d","volume":"29","author":"Stolte","year":"1982","journal-title":"Hepato-Gastroenterology"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1159\/000289099","article-title":"Groove Pancreatitis","volume":"27","author":"Tezuka","year":"2010","journal-title":"Dig. Surg."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1007\/BF02924155","article-title":"Groove pancreatitis","volume":"10","author":"Becker","year":"1991","journal-title":"Int. J. Pancreatol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1455","DOI":"10.3892\/etm.2021.10890","article-title":"Pancreatoduodenectomy for groove pancreatitis: A case report and literature review","volume":"22","author":"Bacalbasa","year":"2021","journal-title":"Exp. Ther. Med."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"101540","DOI":"10.1016\/j.epsc.2020.101540","article-title":"Groove pancreatitis treated by duodenal and biliary bypass","volume":"59","author":"Tahara","year":"2020","journal-title":"J. Pediatr. Surg. Case Rep."},{"key":"ref_6","first-page":"230","article-title":"Groove Pancreatitis. A Mini-Series Report and Review of the Literature","volume":"12","author":"Manzelli","year":"2011","journal-title":"JOP J. Pancreas"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"2664","DOI":"10.1007\/s00268-009-0238-5","article-title":"\u201cParaduodenal\u201d Pancreatitis: Results of Surgery on 58 Consecutives Patients from a Single Institution","volume":"33","author":"Casetti","year":"2009","journal-title":"World J. Surg."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1016\/S0016-5107(04)02460-5","article-title":"Successful treatment for groove pancreatitis by endoscopic drainage via the minor papilla","volume":"61","author":"Isayama","year":"2005","journal-title":"Gastrointest. Endosc."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"417","DOI":"10.5858\/arpa.2013-0597-RS","article-title":"Groove Pancreatitis: A Brief Review of a Diagnostic Challenge","volume":"139","author":"DeSouza","year":"2015","journal-title":"Arch. Pathol. Lab. Med."},{"key":"ref_10","first-page":"99","article-title":"Surgical management of groove pancreatitis: A case report","volume":"36","author":"Ismail","year":"2020","journal-title":"Pan Afr. Med. J."},{"key":"ref_11","first-page":"592","article-title":"Groove pancreatitis: A case report and review of literature","volume":"8","author":"Balakrishnan","year":"2007","journal-title":"JOP J. Pancreas"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"e28","DOI":"10.1177\/0036933012474610","article-title":"Groove pancreatitis: A case series and review of the literature","volume":"58","author":"Latham","year":"2013","journal-title":"Scott. Med. J."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1111\/j.1572-0241.2007.01091.x","article-title":"Clinical and Morphological Features of Duodenal Cystic Dystrophy in Heterotopic Pancreas","volume":"102","author":"Rebours","year":"2007","journal-title":"Am. J. Gastroenterol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"54","DOI":"10.25259\/JCIS_69_2022","article-title":"Groove pancreatitis: A unique case of focal pancreatitis","volume":"12","author":"Joshi","year":"2022","journal-title":"J. Clin. Imaging Sci."},{"key":"ref_15","first-page":"e27738","article-title":"Groove Pancreatitis: A Case Report and Review of a Hidden Type of Chronic Pancreatitis","volume":"14","author":"Kutty","year":"2022","journal-title":"Cureus"},{"key":"ref_16","first-page":"19","article-title":"Groove pancreatitis mimicking pancreatic cancer: Case report and literature review","volume":"36","year":"2021","journal-title":"Rev. Colomb. Gastroenterol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1679","DOI":"10.1007\/s00330-002-1743-1","article-title":"Groove pancreatic carcinomas: Radiological and pathological findings","volume":"13","author":"Gabata","year":"2003","journal-title":"Eur. Radiol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1736","DOI":"10.1007\/s00330-009-1332-7","article-title":"Groove pancreatitis: A diagnostic challenge","volume":"19","author":"Triantopoulou","year":"2009","journal-title":"Eur. Radiol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"911","DOI":"10.1097\/00004728-199411000-00011","article-title":"CT Findings in Groove Pancreatitis: Correlation with histopathological findings","volume":"18","author":"Itoh","year":"1994","journal-title":"J. Comput. Assist. Tomogr."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1007\/s12262-017-1643-x","article-title":"Groove Pancreatitis: Report of Three Cases with Brief Review of Literature","volume":"79","author":"Ray","year":"2017","journal-title":"Indian J. Surg."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"73","DOI":"10.2214\/AJR.06.1244","article-title":"MRI Features of Groove Pancreatitis","volume":"189","author":"Blasbalg","year":"2007","journal-title":"Am. J. Roentgenol."},{"key":"ref_22","first-page":"9","article-title":"Groove pancreatitis: A Case Report and Review of the Literature","volume":"4","author":"Ferreira","year":"2010","journal-title":"J. Radiol. Case Rep."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1175","DOI":"10.1016\/j.ejrnm.2016.09.016","article-title":"Groove pancreatitis: Imaging features and management","volume":"47","author":"Ibrahim","year":"2016","journal-title":"Egypt. J. Radiol. Nucl. Med."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1148\/radiol.13112056","article-title":"Paraduodenal Pancreatitis: Clinical Performance of MR Imaging in Distinguishing from Carcinoma","volume":"269","author":"Kalb","year":"2013","journal-title":"Radiology"},{"key":"ref_25","first-page":"20150316","article-title":"Groove pancreatitis\u2014A great mimicker","volume":"2","author":"Nanjaraj","year":"2016","journal-title":"BJR Case Rep."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"208","DOI":"10.5009\/gnl17170","article-title":"Groove Pancreatitis: Endoscopic Treatment via the Minor Papilla and Duct of Santorini Morphology","volume":"12","author":"Chantarojanasiri","year":"2018","journal-title":"Gut Liver"}],"container-title":["Journal of Personalized Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4426\/13\/4\/644\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T19:12:23Z","timestamp":1760123543000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4426\/13\/4\/644"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,8]]},"references-count":26,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2023,4]]}},"alternative-id":["jpm13040644"],"URL":"https:\/\/doi.org\/10.3390\/jpm13040644","relation":{},"ISSN":["2075-4426"],"issn-type":[{"value":"2075-4426","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,8]]}}}