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Robotic Lateral Pancreaticojejunostomy for Chronic Pancreatitis
Published on: December 14, 2019
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[Imaging of chronic pancreatitis]
1Service d'imagerie médicale, Hôpital universitaire Beaujon, Clichy-la-Garenne, France.
La Revue Du Praticien
|March 15, 2019
Summary
Chronic pancreatitis diagnosis relies on imaging patterns like duct abnormalities and calcifications. Magnetic resonance imaging (MRI) with MRCP is crucial for diagnosing doubtful cases and detecting pancreatic cancer.
Area of Science:
- Radiology
- Gastroenterology
- Medical Imaging
Background:
- Chronic pancreatitis presents with characteristic imaging findings including duct abnormalities, calcifications, and parenchymal atrophy.
- Typical computed tomography (CT) findings often suffice for diagnosis.
- Ambiguous cases require advanced imaging for definitive diagnosis and to rule out complications.
Purpose of the Study:
- To outline the key imaging patterns of chronic pancreatitis.
- To highlight the role of MRI with MRCP in diagnosing challenging cases.
- To discuss the differential diagnosis, including pancreatic cancer and IPMN.
Main Methods:
- Review of imaging patterns associated with chronic pancreatitis.
- Emphasis on CT for typical presentations.
- Utilization of MRI with MRCP for evaluating doubtful chronic pancreatitis and detecting subtle ductal irregularities.
Main Results:
- Chronic pancreatitis is characterized by main pancreatic duct beading, branch duct enlargement, calcifications, and atrophy.
- CT is definitive for typical cases.
- MRI with MRCP is essential for identifying discrete ductal irregularities in suspected chronic pancreatitis.
Conclusions:
- Imaging plays a critical role in diagnosing chronic pancreatitis.
- MRI with MRCP is invaluable for equivocal cases and for detecting pancreatic ductal carcinoma in patients with chronic pancreatitis.
- Intraductal pancreatic mucinous neoplasia (IPMN) is a key differential diagnosis that requires careful imaging evaluation.
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