Endoscopic Ultrasound in the Diagnosis of Pancreatoduodenal Groove Pathology: Report of Three Cases and Brief Review of the Literature
The pancreatoduodenal groove is a small area where pathologic processes involving the distal bile duct, duodenum, pancreatic head, ampulla of Vater, and retroperitoneum converge. Despite great advances in imaging techniques, a definitive preoperative diagnosis is challenging because of the complex a...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Gastrointestinal Endoscopy
2019-03-01
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| Series: | Clinical Endoscopy |
| Subjects: | |
| Online Access: | http://www.e-ce.org/upload/pdf/ce-2018-097.pdf |
| _version_ | 1797426606475575296 |
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| author | Inés C. Oría Juan E. Pizzala Augusto M. Villaverde Juan C. Spina Analía V. Pasqua Julio C. Lazarte Oscar M. Mazza Mariano M. Marcolongo |
| author_facet | Inés C. Oría Juan E. Pizzala Augusto M. Villaverde Juan C. Spina Analía V. Pasqua Julio C. Lazarte Oscar M. Mazza Mariano M. Marcolongo |
| author_sort | Inés C. Oría |
| collection | DOAJ |
| description | The pancreatoduodenal groove is a small area where pathologic processes involving the distal bile duct, duodenum, pancreatic head, ampulla of Vater, and retroperitoneum converge. Despite great advances in imaging techniques, a definitive preoperative diagnosis is challenging because of the complex anatomy of this area. Therefore, surgical intervention is frequently required because of the inability to completely exclude malignancy. We report 3 cases of patients with different groove pathologies but similar clinical and imaging presentation, and show the essential role of endoscopic ultrasound (EUS) in making a specific preoperative diagnosis, excluding malignancy in the first case, changing diagnosis in the second case, and confirming malignancy in the third case. EUS was a fundamental tool in this cohort of patients, not only because of its ability to provide superior visualization of a difficult anatomical region, but because of the ability to guide precise, real-time procedures, such as fine-needle aspiration. |
| first_indexed | 2024-03-09T08:32:43Z |
| format | Article |
| id | doaj.art-55ffd0986aa54368a3a5d37bfdb4d185 |
| institution | Directory Open Access Journal |
| issn | 2234-2400 2234-2443 |
| language | English |
| last_indexed | 2024-03-09T08:32:43Z |
| publishDate | 2019-03-01 |
| publisher | Korean Society of Gastrointestinal Endoscopy |
| record_format | Article |
| series | Clinical Endoscopy |
| spelling | doaj.art-55ffd0986aa54368a3a5d37bfdb4d1852023-12-02T19:11:08ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432019-03-0152219620010.5946/ce.2018.0977166Endoscopic Ultrasound in the Diagnosis of Pancreatoduodenal Groove Pathology: Report of Three Cases and Brief Review of the LiteratureInés C. OríaJuan E. Pizzala0Augusto M. Villaverde1Juan C. Spina2Analía V. Pasqua3Julio C. Lazarte4Oscar M. Mazza5Mariano M. Marcolongo6 Department of Gastroenterology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina Department of Gastroenterology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina Department of Gastroenterology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina Department of Gastroenterology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina Department of Gastroenterology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina Department of Gastroenterology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina Department of Gastroenterology, Hospital Italiano de Buenos Aires, Buenos Aires, ArgentinaThe pancreatoduodenal groove is a small area where pathologic processes involving the distal bile duct, duodenum, pancreatic head, ampulla of Vater, and retroperitoneum converge. Despite great advances in imaging techniques, a definitive preoperative diagnosis is challenging because of the complex anatomy of this area. Therefore, surgical intervention is frequently required because of the inability to completely exclude malignancy. We report 3 cases of patients with different groove pathologies but similar clinical and imaging presentation, and show the essential role of endoscopic ultrasound (EUS) in making a specific preoperative diagnosis, excluding malignancy in the first case, changing diagnosis in the second case, and confirming malignancy in the third case. EUS was a fundamental tool in this cohort of patients, not only because of its ability to provide superior visualization of a difficult anatomical region, but because of the ability to guide precise, real-time procedures, such as fine-needle aspiration.http://www.e-ce.org/upload/pdf/ce-2018-097.pdfPancreatoduodenal grooveEndoscopic ultrasoundFine needle aspirationPancreatic cancerGroove pancreatitis |
| spellingShingle | Inés C. Oría Juan E. Pizzala Augusto M. Villaverde Juan C. Spina Analía V. Pasqua Julio C. Lazarte Oscar M. Mazza Mariano M. Marcolongo Endoscopic Ultrasound in the Diagnosis of Pancreatoduodenal Groove Pathology: Report of Three Cases and Brief Review of the Literature Clinical Endoscopy Pancreatoduodenal groove Endoscopic ultrasound Fine needle aspiration Pancreatic cancer Groove pancreatitis |
| title | Endoscopic Ultrasound in the Diagnosis of Pancreatoduodenal Groove Pathology: Report of Three Cases and Brief Review of the Literature |
| title_full | Endoscopic Ultrasound in the Diagnosis of Pancreatoduodenal Groove Pathology: Report of Three Cases and Brief Review of the Literature |
| title_fullStr | Endoscopic Ultrasound in the Diagnosis of Pancreatoduodenal Groove Pathology: Report of Three Cases and Brief Review of the Literature |
| title_full_unstemmed | Endoscopic Ultrasound in the Diagnosis of Pancreatoduodenal Groove Pathology: Report of Three Cases and Brief Review of the Literature |
| title_short | Endoscopic Ultrasound in the Diagnosis of Pancreatoduodenal Groove Pathology: Report of Three Cases and Brief Review of the Literature |
| title_sort | endoscopic ultrasound in the diagnosis of pancreatoduodenal groove pathology report of three cases and brief review of the literature |
| topic | Pancreatoduodenal groove Endoscopic ultrasound Fine needle aspiration Pancreatic cancer Groove pancreatitis |
| url | http://www.e-ce.org/upload/pdf/ce-2018-097.pdf |
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