The augmented role of pancreatic imaging in the era of endoscopic necrosectomy: an illustrative and pictorial review

Clicks: 72
ID: 261219
2019
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Abstract
Endoscopic cystogastrostomy for mature pancreatic collections has long been recognized. However, FDA approval of newer lumen-apposing metallic stents in 2014 has now brought pancreatic necrosectomy to the endoscopic realm. Endoscopic drainage of Walled-off necrosis and direct endoscopic necrosectomy are technically challenging procedures with higher rates of complications. Collaborative clinical decision making both pre- and post-procedurally between the radiologist, endoscopist, and the surgeon can greatly improve outcomes in necrotizing pancreatitis. Herein, we review the basic pathophysiology that underlies progressive radiographic findings in NP, value of preprocedural imaging, current management algorithms, newer tools, and techniques as well as potential post-procedure complications on imaging follow-up after endoscopic interventions in necrotizing pancreatitis.
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kapoor2019abdominalthe Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Harit Kapoor;Mohamed Issa;Michael A. Winkler;Rashmi T. Nair;Frandah Wesam;Halemane Ganesh;Harit Kapoor;Mohamed Issa;Michael A. Winkler;Rashmi T. Nair;Frandah Wesam;Halemane Ganesh;
Journal abdominal radiology
Year 2019
DOI
doi:10.1007/s00261-019-02093-1
URL
https://link.springer.com/article/10.1007/s00261-019-02093-1
Keywords
hepatology gastroenterology imaging / radiology

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