Imaging Diagnosis and Management of Fistulas in Pancreatitis

被引：2

作者：

Chhabra, Manika ^{[1
]}

Gupta, Pankaj ^{[1
]}

Shah, Jimil ^{[2
]}

Samanta, Jayanta ^{[2
]}

Mandavdhare, Harshal ^{[2
]}

Sharma, Vishal ^{[2
]}

Sinha, Saroj K. ^{[2
]}

Dutta, Usha ^{[2
]}

Kochhar, Rakesh ^{[2
]}

机构：

[1] Postgrad Inst Med Educ & Res, Dept Radiodiag & Imaging, Chandigarh, India

[2] Postgrad Inst Med Educ & Res, Dept Gastroenterol, Chandigarh, India

来源：

DIGESTIVE DISEASES AND SCIENCES | 2024年 / 69卷 / 02期

关键词：

Pancreas; Fistula; CT; MRI; MRCP; INFECTED NECROTIZING PANCREATITIS; PANCREATICOPLEURAL FISTULA; ENDOSCOPIC MANAGEMENT; PERCUTANEOUS EMBOLIZATION; GASTROINTESTINAL FISTULA; NONSURGICAL MANAGEMENT; MEDIASTINAL PSEUDOCYST; SUCCESSFUL RESOLUTION; SURGICAL-MANAGEMENT; COMPLICATIONS;

D O I：

10.1007/s10620-023-08173-z

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

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.

引用

页码：335 / 348

页数：14

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