| [ Summary ] |
"Groove pancreatitis", first described by Becker in 1973, is a special form of segmental pancreatitis affecting the head of the pancreas, and is characterized by the formation of a scarplate between the head of the pancreas and the duodenum what we call "groove", It is difficult or even impossible to distinguish this from malignant diseases around the head of the pancreas. Because radiologically, the scar plate in the groove looks like a tumor, and ohe of the clinical findings of this disease is frequent duodenal stenosis. Based on histopathologic findings, groove pancreatitis is divided into two types : the "pure" form and the "segmental" form. Several authors have reported not only successfully treated cases but also those treated inefficaciously with conservative therapies. Frequent relapses, are accompanied by minute carcirioma, which are difficult to distinguish frorn other discases, surgical therapies are indicated at the present time. Pylorus-preserving pancreaticoduodenectomy(PPPD) seerns to be the proper treatment. Greater awareness of this disease will bring about improved therapeutic treatments. |