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Imaging Diagnosis and Management of Fistulas in Pancreatitis.
Chhabra, Manika; Gupta, Pankaj; Shah, Jimil; Samanta, Jayanta; Mandavdhare, Harshal; Sharma, Vishal; Sinha, Saroj K; Dutta, Usha; Kochhar, Rakesh.
Afiliação
  • Chhabra M; Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
  • Gupta P; Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh, India. gupta.pankaj959@pgimer.edu.in.
  • Shah J; Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
  • Samanta J; Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
  • Mandavdhare H; Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
  • Sharma V; Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
  • Sinha SK; Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
  • Dutta U; Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
  • Kochhar R; Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Dig Dis Sci ; 69(2): 335-348, 2024 Feb.
Article em En | MEDLINE | ID: mdl-38114791
ABSTRACT
Pancreatic fistula is a highly morbid complication of pancreatitis. External pancreatic fistulas result when pancreatic secretions leak externally into the percutaneous drains or external wound (following surgery) due to the communication of the peripancreatic collection with the main pancreatic duct (MPD). Internal pancreatic fistulas include communication of the pancreatic duct (directly or via intervening collection) with the pleura, pericardium, mediastinum, peritoneal cavity, or gastrointestinal tract. Cross-sectional imaging plays an essential role in the management of pancreatic fistulas. With the help of multiplanar imaging, fistulous tracts can be delineated clearly. Thin computed tomography sections and magnetic resonance cholangiopancreatography images may demonstrate the communication between MPD and pancreatic fluid collections or body cavities. Endoscopic retrograde cholangiography (ERCP) is diagnostic as well as therapeutic. In this review, we discuss the imaging diagnosis and management of various types of pancreatic fistulas with the aim to sensitize radiologists to timely diagnosis of this critical complication of pancreatitis.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pancreatopatias / Pancreatite Limite: Humans Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pancreatopatias / Pancreatite Limite: Humans Idioma: En Ano de publicação: 2024 Tipo de documento: Article