{"id":4932,"date":"2021-06-08T09:00:48","date_gmt":"2021-06-08T09:00:48","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/uncategorized\/voce-conhece-a-pancreatite-paraduodenal-groove-pancreatitis\/"},"modified":"2023-08-07T21:30:59","modified_gmt":"2023-08-07T21:30:59","slug":"voce-conhece-a-pancreatite-paraduodenal-groove-pancreatitis","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/voce-conhece-a-pancreatite-paraduodenal-groove-pancreatitis\/","title":{"rendered":"Voc\u00ea conhece a pancreatite paraduodenal (groove pancreatitis)?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Trata-se de uma forma incomum de pancreatite cr\u00f4nica que afeta a \u00e1rea localizada entre a parede duodenal medial, a cabe\u00e7a do p\u00e2ncreas e o col\u00e9doco (Figura 1). \u00c9 uma causa pouco familiar para a maioria dos m\u00e9dicos e, portanto, geralmente subdiagnosticada [1]. Foi descrita pela primeira vez em 1970 por Potet e Duclert [2].<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Muitos termos s\u00e3o considerados sin\u00f4nimos de pancreatite paraduodenal (PP), como distrofia c\u00edstica duodenal, cisto de parede paraduodenal, pancreatite de sulco (<\/span><i><span style=\"font-weight: 400;\">groove pancreatitis<\/span><\/i><span style=\"font-weight: 400;\">), mioadenomatose, distrofia c\u00edstica do p\u00e2ncreas heterot\u00f3pico e tamb\u00e9m hamartoma duodenal pancre\u00e1tico [1,2,3,6].<\/span><\/p>\n<p><span style=\"font-weight: 400;\">H\u00e1 duas formas de apresenta\u00e7\u00e3o:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">pura: quando as altera\u00e7\u00f5es fibroinflamat\u00f3rias acometem exclusivamente o sulco paraduodenal, com preserva\u00e7\u00e3o do par\u00eanquima pancre\u00e1tico;<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">segmentar:<\/span> <span style=\"font-weight: 400;\">quando h\u00e1 o acometimento da por\u00e7\u00e3o dorsomedial da cabe\u00e7a do p\u00e2ncreas, com acometimento do ducto pancre\u00e1tico principal (DPP).<\/span><\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\" wp-image-7716 aligncenter\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/06\/01-1-300x217.png\" alt=\"\" width=\"545\" height=\"394\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/06\/01-1-300x217.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/06\/01-1-768x555.png 768w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/06\/01-1-585x422.png 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/06\/01-1.png 925w\" sizes=\"(max-width: 545px) 100vw, 545px\" \/><\/p>\n<p style=\"text-align: center;\"><em><span style=\"font-weight: 400;\">Figura 1: essa imagem mostra o sulco pancre\u00e1ticoduodenal (c\u00edrculos azuis), um \u201cespa\u00e7o te\u00f3rico\u201d entre a parede duodenal medial, cabe\u00e7a do p\u00e2ncreas e o col\u00e9doco.<\/span><\/em><\/p>\n<h2>Epidemiologia<\/h2>\n<p><span style=\"font-weight: 400;\">Acomete majoritariamente homens caucasianos, com idade entre 40 e 50 anos, associado a hist\u00f3rico de alcoolismo pesado e, na maioria, concomitante a tabagismo de longa data [1,4]. A incid\u00eancia n\u00e3o \u00e9 bem estabelecida. Numa s\u00e9rie de pacientes submetidos \u00e0 pancreaticoduodenectomia por pancreatite cr\u00f4nica, a incid\u00eancia variou de 2,7% a 24,5% [4].<\/span><\/p>\n<h2>Etiologia<\/h2>\n<p><span style=\"font-weight: 400;\">\u00c9 provavelmente heterog\u00eanea e multifatorial. Um mecanismo proposto sugere que o consumo de \u00e1lcool e a exposi\u00e7\u00e3o ao tabaco aumentam a viscosidade de secre\u00e7\u00f5es pancre\u00e1ticas que levam \u00e0 estase e \u00e0 obstru\u00e7\u00e3o do ducto, ocasionando inflama\u00e7\u00e3o local cr\u00f4nica na papila menor e na \u00e1rea ao redor da cabe\u00e7a do p\u00e2ncreas, al\u00e9m de calcifica\u00e7\u00f5es do ducto de Santorini. Fibrose e cicatriz resultam em estenose do col\u00e9doco e no aumento da rigidez da parede duodenal com posterior estenose [1,4].<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00dalceras p\u00e9pticas tamb\u00e9m s\u00e3o potenciais desencadeantes associadas \u00e0 forma segmentar em 41% de casos na s\u00e9rie de Solte et al. Outros fatores incluem hipersecre\u00e7\u00e3o g\u00e1strica, ressec\u00e7\u00f5es g\u00e1stricas pr\u00e9vias, cistos verdadeiros da parede duodenal e da cabe\u00e7a do p\u00e2ncreas [3,6].<\/span><\/p>\n<h2>Apresenta\u00e7\u00e3o cl\u00ednica<\/h2>\n<p><span style=\"font-weight: 400;\">Dor abdominal, perda de peso importante e mais raramente pr\u00f3domos de obstru\u00e7\u00e3o digestiva alta. Quando h\u00e1 acometimento do DPP, pode ocorrer diarreia, diabetes mellitus e icter\u00edcia [1,2,3,4].<\/span><\/p>\n<h2>Laborat\u00f3rio<\/h2>\n<p><span style=\"font-weight: 400;\">As enzimas pancre\u00e1ticas e hep\u00e1ticas podem estar ligeiramente elevadas. Os marcadores tumorais CEA e CA 19-9 geralmente s\u00e3o normais [3].<\/span><\/p>\n<h2>Apresenta\u00e7\u00e3o microsc\u00f3pica<\/h2>\n<p><span style=\"font-weight: 400;\">Os achados patol\u00f3gicos comuns consistem em les\u00f5es c\u00edsticas tanto na submucosa duodenal quanto na muscular pr\u00f3pria. Esses cistos podem conter fluidos claros, material granular espesso e, ocasionalmente, c\u00e1lculos. As caracter\u00edsticas histol\u00f3gicas mais comuns de PP incluem hiperplasia da gl\u00e2ndula de Brunner, tecido pancre\u00e1tico heterot\u00f3pico na submucosa ou na muscular pr\u00f3pria da parede duodenal, prolifera\u00e7\u00e3o miofibrobl\u00e1stica, c\u00e9lulas estromais fusiformes, macr\u00f3fagos carregados de lip\u00eddios e detritos celulares granulares. N\u00e3o h\u00e1 achado espec\u00edfico [3,4,10].<\/span><\/p>\n<h2>Exames de Imagens<\/h2>\n<h3><strong><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/casos-clinicos\/cc-endoscopia-digestiva-alta\/\">Endoscopia digestiva alta<\/a><\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">Compress\u00e3o extr\u00ednseca duodenal com mucosa sobrejacente aparentemente normal.<\/span><\/p>\n<h3>Tomografia computadorizada<\/h3>\n<p><span style=\"font-weight: 400;\">Na forma pura, mostra uma massa laminar, em crescente, hipodensa, entre a cabe\u00e7a pancre\u00e1tica e <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/categoria\/imagens\/orgao\/duodeno\/\">duodeno<\/a>, perto da papila menor. A capta\u00e7\u00e3o tardia de contraste \u00e9 observada em alguns pacientes, devido ao fluxo sangu\u00edneo reduzido causado pela prolifera\u00e7\u00e3o de tecido fibr\u00f3tico. [3]<\/span><\/p>\n<h3>Resson\u00e2ncia magn\u00e9tica (RM)<\/h3>\n<p><span style=\"font-weight: 400;\">Massa laminar no sulco hipointensa em T1 em compara\u00e7\u00e3o com o par\u00eanquima pancre\u00e1tico. Na sequ\u00eancia T2, pode ser hipo-iso (quadro tardio) ou ligeiramente hiperintenso (caso agudo pelo edema). N\u00e3o \u00e9 frequente infiltra\u00e7\u00e3o para o retroperit\u00f4nio nem o acometimento de vasos [1,3].<\/span><\/p>\n<h3>Colangio-RM<\/h3>\n<p><span style=\"font-weight: 400;\">\u00c9, atualmente, o principal recurso para visualizar o DPP e o ducto biliar comum. Revela um padr\u00e3o regular, liso e suave de estreitamento da por\u00e7\u00e3o intrapancre\u00e1tica do col\u00e9doco distal, diferentemente dos casos de neoplasia [3].<\/span><\/p>\n<h3>Ecoendoscopia \u00b1 bi\u00f3psia (EUS)<\/h3>\n<p><span style=\"font-weight: 400;\">Ferramenta imprescind\u00edvel na abordagem das les\u00f5es pancreaticobiliares. EUS localiza a anatomia exata e avalia a superf\u00edcie envolvida, com a limita\u00e7\u00e3o que n\u00e3o \u00e9 capaz de diferenciar infiltra\u00e7\u00e3o e inflama\u00e7\u00e3o. Os achados da ecopun\u00e7\u00e3o podem mimetizar neoplasias, pela presen\u00e7a de c\u00e9lulas fusiformes abundantes ou grande n\u00famero de c\u00e9lulas gigantes. Da mesma forma, \u00e1rea com fibrose n\u00e3o exclui neoplasia. Mas, em geral, EUS consegue diferenciar adenocarcinoma pancre\u00e1tico de PP, pela an\u00e1lise cito-histol\u00f3gica, em quase 90% dos casos [1,3,7,8,9].<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Na s\u00e9rie de Arvanitakis et al, o diagn\u00f3stico de PP foi baseado principalmente em RM e EUS, quando tr\u00eas sinais eram presentes:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">espessamento duodenal;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">cistos na parede duodenal;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">massa no sulco.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">A presen\u00e7a desses tr\u00eas sinais demonstrou identificar corretamente a PP com uma especificidade de 88,2% [2].<\/span><\/p>\n<h2>Diagn\u00f3stico diferencial<\/h2>\n<p><span style=\"font-weight: 400;\">Hamartona duodenal, tumores neuroend\u00f3crinos do sulco, principalmente, o gastrinoma, <\/span><span style=\"font-weight: 400;\">tumor estromal gastrointestinal,<\/span><span style=\"font-weight: 400;\"> pancreatite autoimune,<\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/caso-clinico\/#:~:text=Os%20primeiros%20relatos%20de%20IPMN,casos%20para%20cada%20100.000%20hab.\"> <span style=\"font-weight: 400;\">neoplasia mucinosa papilar intraductal<\/span><\/a><span style=\"font-weight: 400;\">, cisto de col\u00e9doco, colangiocarcinoma distal, carcinoma duodenal, divert\u00edculo periampular, met\u00e1stase ampular e pancreatite aguda com necrose ou pseudocistos.<\/span><\/p>\n<p><img decoding=\"async\" class=\" wp-image-7999 aligncenter\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/06\/001-300x225.png\" alt=\"\" width=\"526\" height=\"394\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/06\/001-300x225.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/06\/001-585x439.png 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/06\/001.png 758w\" sizes=\"(max-width: 526px) 100vw, 526px\" \/><\/p>\n<p style=\"text-align: center;\"><em><span style=\"font-weight: 400;\">Imagem endosc\u00f3pica mostra les\u00e3o com proje\u00e7\u00e3o endoluminal na segunda por\u00e7\u00e3o duodenal, proporcionando diminui\u00e7\u00e3o da luz do \u00f3rg\u00e3o. Imagens cedidas pelo Dr. Felipe A. Retes.<\/span><\/em><\/p>\n<p><img decoding=\"async\" class=\" wp-image-8000 aligncenter\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/06\/002-300x225.png\" alt=\"\" width=\"586\" height=\"440\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/06\/002-300x225.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/06\/002-585x439.png 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/06\/002.png 747w\" sizes=\"(max-width: 586px) 100vw, 586px\" \/><\/p>\n<p style=\"text-align: center;\"><em><span style=\"font-weight: 400;\">Imagem endosc\u00f3pica mostra les\u00e3o com proje\u00e7\u00e3o endoluminal na segunda por\u00e7\u00e3o duodenal, proporcionando diminui\u00e7\u00e3o da luz do \u00f3rg\u00e3o. Imagens cedidas pelo Dr. Felipe A. Retes.<\/span><\/em><\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/003.png\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-13966 aligncenter\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/003.png\" alt=\"\" width=\"713\" height=\"564\" \/><\/a><\/p>\n<p style=\"text-align: center;\"><em><span style=\"font-weight: 400;\">Imagem ecogr\u00e1fica demonstra espessamento da parede duodenal, medindo 1.31 cm de di\u00e2metro, com \u00e1reas c\u00edsticas de permeio (setas). Imagens cedidas pelo Dr. Felipe A. Retes.<\/span><\/em><\/p>\n<p style=\"text-align: center;\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/004.png\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-13967 aligncenter\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/004.png\" alt=\"\" width=\"736\" height=\"595\" \/><\/a><\/p>\n<p style=\"text-align: center;\"><em><span style=\"font-weight: 400;\">Imagem ecogr\u00e1fica demonstra espessamento da parede duodenal com \u00e1reas c\u00edsticas de permeio (setas). Imagens cedidas pelo Dr. Felipe A. Retes.<\/span><\/em><\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/005.png\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-13968 aligncenter\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/005.png\" alt=\"\" width=\"677\" height=\"550\" \/><\/a><\/p>\n<p style=\"text-align: center;\"><em><span style=\"font-weight: 400;\">Imagem ecogr\u00e1fica demonstra espessamento da parede duodenal, com \u00e1reas c\u00edsticas de permeio. Imagens cedidas pelo Dr. Felipe A. Retes.<\/span><\/em><\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/006.png\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-13969 aligncenter\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/006.png\" alt=\"\" width=\"627\" height=\"507\" \/><\/a><\/p>\n<p style=\"text-align: center;\"><em><span style=\"font-weight: 400;\">Transi\u00e7\u00e3o da mucosa duodenal normal para \u00e1rea espessada (seta azul). Notam-se \u00e1reas c\u00edsticas de permeio (seta amarela). Imagens cedidas pelo Dr. Felipe A. Retes.<\/span><\/em><\/p>\n<h2>Tratamento<\/h2>\n<p><span style=\"font-weight: 400;\">Arvanitakis et al. mostrou que uma abordagem gradual para o tratamento da PP \u00e9 vi\u00e1vel, eficaz e est\u00e1 associada a uma taxa aceit\u00e1vel de complica\u00e7\u00f5es.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">O tratamento dos sintomas agudos iniciais com medidas conservadoras (analg\u00e9sicos, repouso pancre\u00e1tico e abstin\u00eancia) pode ser \u00fatil a curto prazo. O uso da somatostatina demonstrou melhorar os resultados da abordagem n\u00e3o cir\u00fargica, sobretudo, na aus\u00eancia de tratamento endosc\u00f3pico devido \u00e0 papila inacess\u00edvel por compress\u00e3o. Entre as desvantagens, est\u00e1 o alto risco de recorr\u00eancia de sintomas ap\u00f3s a interrup\u00e7\u00e3o do tratamento.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Em rela\u00e7\u00e3o ao tratamento endosc\u00f3pico, incluem-se v\u00e1rias modalidades, como drenagem do ducto pancre\u00e1tico, dilata\u00e7\u00e3o da estenose duodenal e drenagem endosc\u00f3pica dos cistos.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Drenagem endosc\u00f3pica atrav\u00e9s da papila menor melhora a dor e parece ser vi\u00e1vel apenas no est\u00e1gio inicial da doen\u00e7a, antes do desenvolvimento de cicatrizes graves e estenose duodenal importante.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A cirurgia \u00e9 considerada o tratamento de escolha se sintomas refrat\u00e1rios, nas complica\u00e7\u00f5es ou quando h\u00e1 suspeita de malignidade. A t\u00e9cnica de escolha \u00e9 a duodenopancreatectomia cef\u00e1lica ou a T\u00e9cnica de Whipple [2,3,5].<\/span><\/p>\n<h3><a href=\"https:\/\/gastropedia.com.br\/gastroenterologia\/insuficiencia-pancreatica-exocrina-um-olhar-alem-do-obvio\/\">Para saber mais sobre este tema e outros relacionados, acesse o site Gastropedia clicando aqui!<\/a><\/h3>\n<h3>Como citar este artigo<\/h3>\n<p><span style=\"font-weight: 400;\">Ara\u00fajo GAB. Voc\u00ea conhece a pancreatite paraduodenal (Groove pancreatitis)?. Endoscopia Terap\u00eautica; 2021. Dispon\u00edvel em: https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/voce-conhece-a-pancreatite-paraduodenal-groove-pancreatitis<\/span><\/p>\n<h3>Refer\u00eancias<\/h3>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Addeo G, Beccani D, Cozzi D, Ferrari R, Lanzetta MM, Paolantonio P, Pradella S, Miele V. Groove pancreatitis: a challenging imaging diagnosis. Gland Surg. 2019 Sep;8(Suppl 3):S178-S187. doi: 10.21037\/gs.2019.04.06. PMID: 31559185; PMCID: PMC6755950.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Arvanitakis M, Rigaux J, Toussaint E, Eisendrath P, Bali MA, Matos C, Demetter P, Loi P, Closset J, Deviere J, Delhaye M. Endotherapy for paraduodenal pancreatitis: a large retrospective case series. Endoscopy. 2014 Jul;46(7):580-7. doi: 10.1055\/s-0034-1365719. Epub 2014 May 16. PMID: 24839187.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pallisera-Lloveras A, Ramia-\u00c1ngel JM, Vicens-Arbona C, Cifuentes-Rodenas A. Groove pancreatitis. Rev Esp Enferm Dig. 2015 May;107(5):280-8. PMID: 25952803.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Larjani S, Bruckschwaiger VR, Stephens LA, James PD, Martel G, Mimeault R, Balaa FK, Bertens KA. Paraduodenal pancreatitis as an uncommon cause of gastric outlet obstruction: A case report and review of the literature. Int J Surg Case Rep. 2017;39:14-18. doi: 10.1016\/j.ijscr.2017.07.043. Epub 2017 Jul 25. PMID: 28783521; PMCID: PMC5545816<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Kager LM, Lekkerkerker SJ, Arvanitakis M, Delhaye M, Fockens P, Boermeester MA, van Hooft JE, Besselink MG. Outcomes After Conservative, Endoscopic, and Surgical Treatment of Groove Pancreatitis: A Systematic Review. J Clin Gastroenterol. 2017 Sep;51(8):749-754. doi: 10.1097\/MCG.0000000000000746. PMID: 27875360.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Patel BN, Brooke Jeffrey R, Olcott EW, Zaheer A. Groove pancreatitis: a clinical and imaging overview. Abdom Radiol (NY). 2020 May;45(5):1439-1446. doi: 10.1007\/s00261-019-02239-1. PMID: 31559471.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Laugier R, Grandval P. Does paraduodenal pancreatitis systematically need surgery? Endoscopy. 2014 Jul;46(7):588-90. doi: 10.1055\/s-0034-1377268. Epub 2014 Jun 30. PMID: 24979693.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ligresti D, Tacelli M, Amata M, Barresi L, Caruso S, Tarantino I, Traina M. Pure cystic groove pancreatitis: endosonographic appearance. Endoscopy. 2019 Aug;51(8):E235-E236. doi: 10.1055\/a-0889-7569. Epub 2019 May 2. Erratum in: Endoscopy. 2019 Aug;51(8):C7. PMID: 31049896.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Okasha H, Wahba M. EUS in the diagnosis of rare groove pancreatitis masquerading as malignancy. Gastrointest Endosc. 2020 Aug;92(2):427-428. doi: 10.1016\/j.gie.2020.02.030. Epub 2020 Feb 27. PMID: 32112782.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Jun JH, Lee SK, Kim SY, Cho DH, Song TJ, Park DH, Lee SS, Seo DW, Kim MH. Comparison between groove carcinoma and groove pancreatitis. Pancreatology. 2018 Oct;18(7):805-811. doi: 10.1016\/j.pan.2018.08.013. Epub 2018 Aug 30. 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