Publication Name	World Journal of Clinical Cases
Manuscript ID	111796
Country	Sri Lanka

Category	Surgery
Manuscript Type	Case Report
Article Title	Challenging diagnosis of groove pancreatitis with severe gastric outlet obstruction: A case report
Manuscript Source	Unsolicited Manuscript
All Author List	Naru Kim, Huisong Lee and DaeJoon Park
Funding Agency and Grant Number
Corresponding Author	Huisong Lee, Associate Professor, MD, PhD, Surgery, Ewha Womans University College of Medicine, 1071,Anyangcheon-ro, Yangcheon-gu, Seoul 07985, South Korea. huisong.lee@ewha.ac.kr
Key Words	Groove pancreatitis; Periampullary cancer; Diagnosis; Pancreatoduodenectomy; Gastric outlet obstruction; Rare presentation; Case report
Core Tip	Groove pancreatitis is a rare form of chronic pancreatitis, but cases continue to be reported. Total gastric outlet obstruction, as in our case, is extremely uncommon. The anatomical complexity of the groove area makes accurate diagnosis challenging, especially when a mass involves the pancreas, duodenum, or biliary tract. Treatment options range from conservative care to surgery, and accurate differentiation from malignancy is critical. However, discordant findings across imaging, laboratory findings, and biopsy results often hinder decision-making. In select cases, aggressive surgical intervention may provide definitive diagnosis, shorten treatment duration, and reduce recurrence, as demonstrated in our patient.
Citation	Kim N, Lee H, Park D. Challenging diagnosis of groove pancreatitis with severe gastric outlet obstruction: A case report. World J Clin Cases 2025; In press

Received	2025-07-10 07:56
Peer-Review Started	2025-07-10 07:58
To Make the First Decision
Return for Revision	2025-07-31 07:56
Revised	2025-08-14 07:30
Second Decision	2025-09-30 02:46
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief	2025-09-30 07:57
Articles in Press	2025-09-30 07:57
Publication Fee Transferred	2025-08-21 04:44
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2307-8960 (online)
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