The pure form of GP is a duodenal disease and PD may be an overtreatment for this disease. PPDR has similar safety and better efficacy than PD in patients with CDDW and may be the optimal procedure for the isolated form of CDDW. New onset diabetes mellitus and severe exocrine insufficiency occurred after PD (31% and 14%), but not after PPDR.

Weight gain was significantly higher after PD and PPDR and complete pain control was achieved significantly more often after PPDR (93%) and PD (84%) compared to the other treatment modalities (18%). Twelve patients were treated conservatively with pancreaticoenterostomy ( n = 8), duodenum-preserving pancreatic head resection ( n = 6), PD ( n = 44) and PPDR ( n = 15) without mortality. Symptoms included abdominal pain (100%), weight loss (76%), vomiting (30%) and jaundice (18%) and data from computed tomography, magnetic resonance imaging, and endoUS led to the correct preoperative diagnosis in 98.8% of cases. To compare the safety, efficacy, and short- and long-term results of PD and PPDR in patients with CDDW.ДЄ retrospective analysis of the clinical, radiologic, pathologic, and intra- and postoperative data of 84 patients with CDDW (2004-2020) and a comparison of the safety and efficacy of PD and PPDR. There are no studies comparing PD and PPDR for this disease. Although pancreatoduodenectomy (PD) is considered the most suitable operation for CDDW, pancreas-preserving duodenal resection (PPDR) has also been suggested as an alternative for the pure form of GP (isolated CDDW). The management of cystic dystrophy of the duodenal wall (CDDW), or groove pancreatitis (GP), remains controversial.

Groove agent 4 cmc-pd