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Related Experiment Videos

Pancreatic duct: US-guided percutaneous opacification.

D Matter, P M Bret, M Bretagnolle

    Radiology
    |June 1, 1987
    PubMed
    Summary

    Percutaneous pancreatography offers a successful alternative when endoscopic retrograde cholangiopancreatography fails. This minimally invasive technique provides clear pancreatic duct visualization with minimal complications.

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    Locally advanced pancreatic duct adenocarcinoma: pancreatectomy with planned arterial resection based on axial arterial encasement.

    Langenbeck's archives of surgery·2016

    Area of Science:

    • Gastroenterology
    • Interventional Radiology
    • Surgical Imaging

    Background:

    • Endoscopic retrograde cholangiopancreatography (ERCP) is a common method for pancreatic duct imaging.
    • ERCP can fail or be contraindicated in some patients, necessitating alternative diagnostic approaches.
    • Percutaneous pancreatography offers a less invasive option for visualizing the pancreatic duct system.

    Purpose of the Study:

    • To evaluate the efficacy and safety of percutaneous pancreatography.
    • To assess the success rate of percutaneous pancreatography as an alternative to ERCP.
    • To document complications associated with the percutaneous approach.

    Main Methods:

    • Percutaneous pancreatography was performed in 28 patients under real-time ultrasonic guidance.
    • A 22-gauge needle was used to access the pancreatic duct (3-15 mm in diameter).
    • Pancreatic juice was aspirated, followed by contrast medium injection under fluoroscopic control.

    Main Results:

    • The procedure was successful in 25 out of 28 patients (89% success rate).
    • The primary complication observed was bile leakage in one patient with obstructive jaundice.
    • Surgical follow-up in six patients showed evidence of the puncture site in only one case.

    Conclusions:

    • Percutaneous pancreatography is a safe and effective method for visualizing the pancreatic duct.
    • It serves as a valuable alternative when ERCP is unsuccessful or not attempted.
    • The technique demonstrates a low complication rate and minimal evidence of puncture site sequelae.

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