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Related Experiment Videos

Imaging evaluation of post pancreatic surgery.

Michele Scialpi1, Mariano Scaglione, Luca Volterrani

  • 1Department of Radiology, Santissima Annunziata Hospital, Via Bruno 1, I-74100 Taranto, Italy. michelescialpi@liberto.it

European Journal of Radiology
|March 3, 2005
PubMed
Summary

Computed tomography (CT) is the most effective imaging technique after pancreatic surgery, identifying early and late complications. Multidetector-row CT (MDCT) aids in detecting post-operative issues and tumor recurrence.

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Area of Science:

  • Radiology
  • Surgical Oncology
  • Gastroenterology

Background:

  • Pancreatic surgery encompasses various procedures like Whipple, distal, central, and total pancreatectomy.
  • Post-operative imaging is crucial for monitoring complications and recurrence after pancreatic resections.

Purpose of the Study:

  • To review the role of imaging techniques, particularly computed tomography (CT), in patients following pancreatic surgery.
  • To emphasize the effectiveness of single-slice helical CT and multidetector-row CT (MDCT) in managing post-pancreatic surgery patients.

Main Methods:

  • Review of imaging techniques including ultrasound, gastrointestinal studies, CT, and magnetic resonance imaging (MRI).
  • Focus on CT findings in the early post-operative period and long-term follow-up.

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  • Analysis of CT's ability to detect specific complications and tumor recurrence.

    • Main Results:

    • CT is the most effective imaging modality post-pancreatic surgery.
    • Common CT findings include fluid collections, mesenteric fat stranding, adenopathy, and pneumobilia.
    • CT accurately identifies early (e.g., leaks, hemorrhage) and late (e.g., fistulas, abscesses) complications, as well as tumor recurrence.

    Conclusions:

    • CT, especially MDCT, is essential for diagnosing complications and recurrence after pancreatic surgery.
    • Understanding surgical procedures and normal post-operative imaging is vital for accurate interpretation.
    • MRI serves as an alternative when CT contrast is contraindicated.