Abstract
Percutaneous needling and catheterization guided by radiologic imaging have become well-accepted and valuable adjuncts for the treatment of complications of pancreatitis. Diagnostic aspiration of pancreatic collections has value in establishing the presence of infection. Catheter drainage is a safe and efficacious method to treat infected and noninfected pancreatic pseudocysts. Percutaneous drainage usually is beneficial with pancreatic abscess as well (Fig. 1). Pancreatic necrosis can be quite problematic, and pancreatic phlegmon is generally not in the purview of catheter drainage. This article will focus on the indications, problems, and role of catheter drainage for the severe complications of pancreatitis — pseudocyst, abscess, and necrosis.
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References
Anderson N, vanSonnenberg E, Casola G, Varney RR (1989) Radiologic imaging and intervention for pancreatic inflammatory disease. In: Thompson WM (ed) Common problems in gastrointestinal radiology. Yearbook, Chicago, pp 601–619
Balthazar EJ (1989) CT diagnosis and staging of acute pancreatitis. Radiol Clin N Am 27:29–37
vanSonnenberg E, Wittich GR, Casola G, Stauffer AE, Polansky AD, Coons HG, Cabrera OA, Gerver PS (1985) Complicated pancreatic inflammatory disease: diagnostic and therapeutic role of interventional radiology. Radiology 155:335–340
Torres WE, Evert MB, Baumgartner BR, Bernardino ME (1986) Percutaneous aspiration and drainage of pancreatic pseudocysts. AJR 147:1007–1009
vanSonnenberg E, Wittich GR, Casola G, Brannigan TC, Karnel F, Stabile BE, Varney RR, Christensen R (1989) Percutaneous drainage of infected and noninfected pancreatic pseudocysts: experience in 101 cases. Radiology 170: 757–761
Gerzof SG, Johnson WC, Robbins AH, Spechler SJ, Nabseth DC (1984) Percutaneous drainage of infected pancreatic pseudocysts. Arch Surg 119: 888–893
Hill MC, Cach JL, Barkin J, Isikoff MB, Morse B (1983) The role of percutaneous aspiration in the diagnosis of pancreatic abscess. AJR 141: 1035–1038
White EM, Wittenberg J, Mueller PR, Simeone JF, Butch RJ, Warshaw AL, Neff CC, Nardi GL, Ferrucci JT Jr (1986) Pancreatic necrosis: CT manifestations. Radiology 158:343–346
Sacks BA, Greenberg JJ, Porter DH, Capobianco A, Painter M, Kim R, Orron DE, Kim D (1989) An internalized double-J catheter for percutaneous transgastric cystogastrostomy. AJR 152:523–526
vanSonnenberg E, Casola G, Varney RR, Wittich GR (1989) Imaging and interventional radiology for pancreatitis and its complications. Radiol Clin N Am 271:65–72
Karlson KB, Martin EC, Fankuchen EI, Mattern RF, Schultz RW, Casarella WJ (1982) Percutaneous drainage of pancreatic pseudocysts and abscesses. Radiology 142:619–624
Freeny PC, Lewis GP, Traverso LW, Ryan JA (1988) Infected pancreatic fluid collections: Percutaneous catheter drainage. Radiology 167:435–441
Balthazar EJ, Robinson DL, Megibow AJ, Ranson JHC (1990) Acute pancreatitis: Value of CT in establishing prognosis. Radiology 174:331–336
vanSonnenberg E, Wing VW, Casola G, Coons HG, Nakamoto SK, Mueller PR, Ferrucci JT, Halasz NA, Simeone JF (1984) Temporizing percutaneous drainage of complicated abscesses in critically ill patients. AJR 142:821–826
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© 1993 Springer-Verlag Berlin Heidelberg
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Van Sonnenberg, E. (1993). Percutaneous Drainage of Severe Complications of Pancreatitis. In: Beger, H.G., Büchler, M., Malfertheiner, P. (eds) Standards in Pancreatic Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77437-9_16
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DOI: https://doi.org/10.1007/978-3-642-77437-9_16
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