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Digestive Diseases and Sciences
Published in: Digestive Diseases and Sciences 2/2024

19-12-2023 | Magnetic Resonance Cholangio Pancreatography | Review

Imaging Diagnosis and Management of Fistulas in Pancreatitis

Authors: Manika Chhabra, Pankaj Gupta, Jimil Shah, Jayanta Samanta, Harshal Mandavdhare, Vishal Sharma, Saroj K. Sinha, Usha Dutta, Rakesh Kochhar

Published in: Digestive Diseases and Sciences | Issue 2/2024

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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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Metadata
Title
Imaging Diagnosis and Management of Fistulas in Pancreatitis
Authors
Manika Chhabra
Pankaj Gupta
Jimil Shah
Jayanta Samanta
Harshal Mandavdhare
Vishal Sharma
Saroj K. Sinha
Usha Dutta
Rakesh Kochhar
Publication date
19-12-2023

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