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Complications of Whipple surgery: imaging analysis
Priya Bhosale1, Jason Fleming, Aparna Balachandran
1Department of Diagnostic Radiology, Unit 1473, University of Texas MD Anderson Cancer Center, P.O. Box 301402, Houston, TX 77230-1402, USA. priya.bhosale@mdanderson.org
Abdominal Imaging
|May 25, 2012
Summary
This review details imaging findings after the Whipple procedure, aiding in the diagnosis of surgical complications. Understanding pancreaticoduodenectomy anatomy is key for accurate postoperative assessment and treatment.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Radiology
Background:
- The Whipple procedure (pancreaticoduodenectomy) is a complex surgery for pancreatic and biliary cancers.
- Postoperative imaging is crucial for evaluating patients after this procedure.
Purpose of the Study:
- To illustrate the typical cross-sectional anatomy following a Whipple procedure.
- To describe the imaging appearance of common complications after pancreaticoduodenectomy.
Main Methods:
- Review of imaging studies (CT, MRI) in patients who have undergone a Whipple procedure.
- Correlation of imaging findings with surgical anatomy and clinical outcomes.
Main Results:
- Detailed description of expected postoperative changes in the upper abdomen.
- Identification of imaging features indicative of complications such as hemorrhage, infection, and anastomotic leak.
Conclusions:
- Familiarity with the postoperative anatomy is essential for interpreting imaging studies.
- Accurate diagnosis of complications on imaging facilitates timely and appropriate patient management.
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