CT and MRI assessment of symptomatic organized pancreatic fluid collections and pancreatic duct disruption: an interreader variability study using the revised Atlanta classification 2012

Kamal, Ayesha; Singh, Vikesh K.; Akshintala, Venkata S.; Kawamoto, Satomi; Tsai, Salina; Haider, Maera; Fishman, Elliot K.; Kamel, Ihab R.; Zaheer, Atif

doi:10.1007/s00261-014-0303-x

Cited by 73 publications

(54 citation statements)

References 33 publications

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“…4B). Fat necrosis in the surgical bed may result from a combination of traumatic or ischemic insult from surgery or from the release of lipolytic enzymes during the pancreatic tissue removal causing fat degeneration [35,36]. This results in organization of necrotic fatty tissue with a thick surrounding capsule that demonstrates contrast enhancement (Fig.…”

Section: Mesenterymentioning

confidence: 98%

Total pancreatectomy and islet autotransplantation for chronic pancreatitis: spectrum of postoperative CT findings

et al. 2015

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Improved laboratory methods for preparing islets for autotransplantation and postoperative care for the apancreatic patient have led to a surge in centers performing total pancreatectomy with islet autotransplantation. Accordingly, imaging in this patient population is increasingly being performed. The purpose of this article is to review the expected normal postoperative findings unique to the procedure and common complications on dual phase CT in the immediate postoperative and long-term periods.

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Section: Mesenterymentioning

confidence: 98%

Total pancreatectomy and islet autotransplantation for chronic pancreatitis: spectrum of postoperative CT findings

et al. 2015

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“…Magnetic resonance imaging (MRI) and magnetic resonance cholangiopancreatography (MRCP), are the most accurate and sensitive diagnostic tools, in order to evaluate the anatomy of the pancreatic duct (8). Moreover, exclusion of pancreatic duct disruption and therefore establishment of possible communication with a PP can be more safely done with MRI-MRCP (12). Lastly, MRI provides more information regarding the prediction of possible drainage with sensitivity and specificity of 100% compared with CT, 25% and 100% and ultrasound, 88% and 54%, respectively (11).…”

Section: Diagnosis and Prognosismentioning

confidence: 99%

Review of management options for pancreatic pseudocysts

Agalianos¹,

Passas²,

Sideris³

et al. 2018

Transl. Gastroenterol. Hepatol.

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Pancreatic pseudocysts (PPs) present a challenging problem for physicians dealing with pancreatic disorders. Their management demands the co-operation of surgeons, radiologists and gastroenterologists. Historically, they have been treated either conservatively or surgically, with acceptable rates of complications and recurrence. However, recent advances in radiology and endoscopy, have leaded physicians to implement percutaneous and endoscopic drainage (ED) into their treatment algorithms. Moreover, laparoscopic surgery, with its advantages, has become an attractive alternative choice when surgical drainage (SD) is required. The aim of this review is to summarize the main diagnostic and therapeutic tools in the management of pseudocysts and to present the main studies that compare the three different types of pseudocyst drainage.

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“…Before any invasive interventions, magnetic resonance imaging (MRI) is preferred to assess the condition of WOPN because it is better at detecting nonliquefied necrotic material than CT‐Scan and better delineates the status of pancreatic duct (Fig. ) . Endoscopic ultrasound (EUS) is also accurate in assessing the content of WOPN …”

Section: Indications Of Pancreatic Endotherapymentioning

confidence: 99%

“…1). 12 Endoscopic ultrasound (EUS) is also accurate in assessing the content of WOPN. 13 Noninfected necrosis.…”

Section: Indications Of Pancreatic Endotherapymentioning

confidence: 99%

Endotherapy for pancreatic necrosis: An update

et al. 2018

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Approximately 20% of patients with acute pancreatitis develop pancreatic necrosis. The presence of necrosis in a pancreatic collection significantly worsens the prognosis. Pancreatic necrosis is associated with high mortality and morbidity. In the last few decades, there has been a significant revolution in the treatment of infected pancreatic necrosis. A step‐up approach has been proposed, from less invasive procedures to the operative intervention. Minimally invasive treatment modalities such as endoscopic drainage and necrosectomy, percutaneous drainage, and minimally invasive surgery have recently replaced open surgical necrosectomy as the first‐line treatment option. Endoscopic intervention for pancreatic necrosis is being increasingly performed with good success and a lower complication rate. However, techniques of endotherapy are still not uniform and vary as per local expertise, and there are still many unresolved questions with regard to the interventions in patients with pancreatic necrosis. The objective of this paper is to critically review the literature and update the concepts of endoscopic interventional therapy of pancreatic necrosis.

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CT and MRI assessment of symptomatic organized pancreatic fluid collections and pancreatic duct disruption: an interreader variability study using the revised Atlanta classification 2012

Cited by 73 publications

References 33 publications

Total pancreatectomy and islet autotransplantation for chronic pancreatitis: spectrum of postoperative CT findings

Total pancreatectomy and islet autotransplantation for chronic pancreatitis: spectrum of postoperative CT findings

Review of management options for pancreatic pseudocysts

Endotherapy for pancreatic necrosis: An update

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