<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2341-4545</journal-id>
<journal-title><![CDATA[GE-Portuguese Journal of Gastroenterology]]></journal-title>
<abbrev-journal-title><![CDATA[GE Port J Gastroenterol]]></abbrev-journal-title>
<issn>2341-4545</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Gastrenterologia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2341-45452023000600035</article-id>
<article-id pub-id-type="doi">10.1159/000526855</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Groove Pancreatitis: Clinical Cases and Review of the Literature]]></article-title>
<article-title xml:lang="pt"><![CDATA[Pancreatite da goteira: Casos clínicos e revisão da literatura]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nascimento]]></surname>
<given-names><![CDATA[Catarina Neto do]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Palmela]]></surname>
<given-names><![CDATA[Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soares]]></surname>
<given-names><![CDATA[António Sampaio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Antunes]]></surname>
<given-names><![CDATA[Maria Lobo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fidalgo]]></surname>
<given-names><![CDATA[Catarina Andrade]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Glória]]></surname>
<given-names><![CDATA[Luísa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Beatriz Ângelo Hospital Gastroenterology Department ]]></institution>
<addr-line><![CDATA[Loures ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Beatriz Ângelo Hospital Internal Medicine Department ]]></institution>
<addr-line><![CDATA[Loures ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Prof. Dr. Fernando Fonseca Surgery Department ]]></institution>
<addr-line><![CDATA[Amadora ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>12</month>
<year>2023</year>
</pub-date>
<volume>30</volume>
<numero>6</numero>
<fpage>35</fpage>
<lpage>41</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2341-45452023000600035&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2341-45452023000600035&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2341-45452023000600035&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Groove pancreatitis (GP) is a type of chronic segmental pancreatitis that affects the pancreatoduodenal groove area, and it is often misdiagnosed. Outflow obstruction of the minor papilla associated with alcohol consumption seems to be the main pathophysiological mechanism, and it affects mainly middle-aged males. Symptoms include nausea and postprandial vomiting from gastric outlet obstruction, weight loss, and abdominal pain. Despite modern advances, such as radiological and endoscopic methods, distinction between GP and pancreatic cancer remains a challenge, and histological examination is sometimes necessary. When a diagnosis can be obtained without a surgical specimen, management can be conservative in the absence of acute or chronic complications.  Case Presentation:  The authors present 2 clinical cases which portray the diagnostic workup and management decisions of this entity.  Discussion/Conclusion:  GP is a clinical entity, offering diagnostic and therapeutic challenges. Imaging exams are crucial in the diagnosis and follow-up, but surgery may be necessary in a significant number of cases due to the incapacity to rule out malignancy.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  A pancreatite da goteira (PG) constitui uma forma de pancreatite crónica segmentar, que afeta a área da goteira pancreatoduodenal, sendo frequentemente subdiagnosticada. O mecanismo fisiopatológico principal parece ser a obstrução ao fluxo da papila minor relacionada com o consumo de álcool. Esta patologia ocorre mais frequentemente em homens entre a 4a e 5a décadas de vida. A maioria dos doentes apresenta sintomas como náuseas e vómitos pós-prandiais, perda ponderal e dor abdominal. Apesar do desenvolvimento atual dos métodos radiológicos e endoscópicos, a distinção entre PG e neoplasia pancreática constitui um desafio diagnóstico e a avaliação histológica pode ser necessária. Se for possível obter o diagnóstico sem intervenção cirúrgica, o tratamento pode ser conservador na ausência de complica-ções agudas e crónicas.  Apresentação do caso:  Apresentamos 2 casos clínicos que demonstram a abordagem diagnóstica e a gestão de decisões terapêuticas nesta entidade.  Discussão/Conclusão:  A PG é uma entidade clínica que oferece com diagnóstico e terapêutica desafiantes. Apesar da importância crucial dos exames imagiológicos no diagnóstico e seguimento, a incapacidade de excluir um processo maligno torna necessária a intervenção cirúrgica numa parte significativa dos casos.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Groove pancreatitis]]></kwd>
<kwd lng="en"><![CDATA[Pancreatoduodenectomy]]></kwd>
<kwd lng="en"><![CDATA[Paraduodenal pancreatitis]]></kwd>
<kwd lng="pt"><![CDATA[Pancreatite da goteira]]></kwd>
<kwd lng="pt"><![CDATA[Pancreatoduodenectomia]]></kwd>
<kwd lng="pt"><![CDATA[Pancreatite paraduodenal]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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