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Insights into Imaging
Published in: Insights into Imaging 1/2019

Open Access 01-12-2019 | Magnetic Resonance Imaging | Pictorial Review

Advanced endoscopic interventions on the pancreas and pancreatic ductal system: a primer for radiologists

Authors: Massimo Tonolini, Emilia Bareggi, Pietro Gambitta

Published in: Insights into Imaging | Issue 1/2019

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Abstract

In recent years, technological advancements including endoscopic ultrasound (EUS) guidance and availability of specifically designed stents further expanded the indications and possibilities of interventional endoscopy. Although technically demanding and associated with non-negligible morbidity, advanced pancreatic endoscopic techniques now provide an effective minimally invasive treatment for complications of acute and chronic pancreatitis.
Aiming to provide radiologists with an adequate familiarity, this pictorial essay reviews the indications, techniques, results and pre- and post-procedural cross-sectional imaging appearances of advanced endoscopic interventions on the pancreas and pancreatic ductal system. Most of the emphasis is placed on multidetector CT and MRI findings before and after internal drainage of pseudocysts and walled-off necrosis via EUS-guided endoscopic cystostomy, and on stent placement to relieve strictures or disruption of the main pancreatic duct, respectively in patients with chronic pancreatitis and disconnected pancreatic duct syndrome.
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Metadata
Title
Advanced endoscopic interventions on the pancreas and pancreatic ductal system: a primer for radiologists
Authors
Massimo Tonolini
Emilia Bareggi
Pietro Gambitta
Publication date
01-12-2019

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