ReviewUpdates in surgery2026
Surgical versus conservative management of groove pancreatitis: a systematic review and meta-analysis.
Review in Updates in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
4 authors.
Funding
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Abstract
Groove pancreatitis (GP) is a rare form of focal chronic pancreatitis involving the pancreaticoduodenal groove and frequently mimics pancreatic ductal adenocarcinoma, posing significant diagnostic and therapeutic challenges. This review comprehensively evaluated the demographics, clinical presentation, diagnostic approaches, and comparative effectiveness of surgical versus non-surgical management strategies in GP. A total of 24 studies comprising 562 patients were included. The patient-weighted mean age was 50.6 years, with a marked male predominance (84.3%). Abdominal pain (92.3%), weight loss (70.5%), and nausea/vomiting (47.1%) were the most common presenting features. Non-surgical management (conservative and endoscopic approaches) achieved complete success in 78.9% (131/166) of patients, while surgical management achieved complete success in 82.4% (197/239). Random-effects meta-analysis revealed pooled complete success proportions of 0.76 (95% CI 0.56-0.88) for non-surgical treatment and 0.775 (95% CI 0.708-0.830) for surgery. Sensitivity analysis restricted to resective surgical procedures demonstrated a pooled complete success rate of 0.823 (95% CI 0.764-0.870) with no observed heterogeneity (I
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