Systematic approach to the post-Whipple CT: clinical cases and problem-solving strategies

Area of Science:

• Radiology
• Surgical Oncology
• Gastroenterology

Background:

• Pancreaticoduodenectomy (the Whipple procedure) is standard for pancreatic adenocarcinoma.
• Postoperative complications occur in about 50% of patients after this surgery.
• Early detection of complications is crucial for patient outcomes.

Purpose of the Study:

• To provide radiologists with a systematic approach for evaluating CT scans after pancreaticoduodenectomy.
• To enhance the detection and management of postoperative complications.
• To familiarize radiologists with expected postoperative anatomy.

Main Methods:

• This is a pictorial essay.
• Focuses on computed tomography (CT) imaging.
• Systematic review of postoperative anatomy and potential complications.

Main Results:

• Radiologists require familiarity with postoperative anatomy.
• Optimal imaging techniques are essential for complication detection.
• A systematic approach aids in evaluating post-pancreaticoduodenectomy CT.

Conclusions:

• Radiologists must be proficient in interpreting postoperative CT scans.
• Familiarity with expected anatomy and complications improves patient care.
• This essay offers a guide for evaluating post-Whipple procedure CT findings.