Interventional Radiology for Pancreatic Disease

  • Leonardo Costarelli
  • Enrico Paci
  • Ettore Antico
Part of the Updates in Surgery book series (UPDATESSURG)


Interventional radiology is a discipline whereby diagnostic and/or therapeutic procedures are carried out either endovascularly or percutaneously, using the guidance of imaging systems (including conventional X-rays, ultrasonography, CT, and MRI). If employed on appropriate indication, it reduces the need for conventional surgery with consequently reduced morbidity [1].


Acute Pancreatitis Fluid Collection Pancreatic Fistula Pancreatic Disease Pancreatic Necrosis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Adam A (1998) The definition of interventional radiology. Eur Radiol 8:1014–1015CrossRefPubMedGoogle Scholar
  2. 2.
    Linder JD, Geenen JE, Catalano MF (2006) Cyst fluid analysis obtained by EUS-guided FNA in the evaluation of discrete cystic neoplasms of the pancreas: a prospective single-center experience. Gastrointest Endosc 64:697–702CrossRefPubMedGoogle Scholar
  3. 3.
    Gupta S, Ahrar K, Morello FA Jr et al (2002) Masses in or around the pancreatic head: CT-guided coaxial fine-needle aspiration biopsy with a posterior transcaval approach. Radiology 222:63–69CrossRefPubMedGoogle Scholar
  4. 4.
    Kalra MK, Maher MM, Mueller PR et al (2003) State of the art imaging of pancreatic neoplasms. Br J Radiol 76:857–865CrossRefPubMedGoogle Scholar
  5. 5.
    Van Sonnenberg E et al (2001) Percutaneous abscess drainage: update. World J Surg 25:362–369CrossRefGoogle Scholar
  6. 6.
    Gerzof SG, Robbins AH, Birke TT et al (1979) Percutaneous catheter drainage of abdominal abscesses guided by ultrasound and CT. AJR Am J Roentgenol 133:1–8PubMedGoogle Scholar
  7. 7.
    Bradley EL (1993) A clinically based classification system for acute pancreatitis. Summary of the International Symposium on Acute Pancreatitis Atlanta, 11–13 September 1992. Arch Surg 128:586–590PubMedGoogle Scholar
  8. 8.
    Balthazar EJ (2002) Acute pancreatitis: assessment of severity with clinical and CT evaluation. Radiology 223:603–613CrossRefPubMedGoogle Scholar
  9. 9.
    Uhl W, Warshaw A, Imri C et al (2002) IAP guidelines for the surgical management of acute pancreatitis. Pancreatology 2:565–573CrossRefPubMedGoogle Scholar
  10. 10.
    Yeo CJ, Sarr MG (1994) Cystic and pseudocystic diseases of the pancreas. Curr Probl Surg 31:165–252CrossRefPubMedGoogle Scholar
  11. 11.
    Neff R (2001) Pancreatic pseudocysts and fluid collections: percutaneous approaches. Surg Clin North Am 81:399–403CrossRefPubMedGoogle Scholar
  12. 12.
    Kumbasar AB, Acunas B (2001) Interventional radiology in inflammatory pancreatic disease. Eur J Radiol 38:133–136CrossRefPubMedGoogle Scholar
  13. 13.
    Brugge WR (2004) Approaches to the drainage of pancreatic pseudocysts. Curr Opin Gastroenterol 20:488–492CrossRefPubMedGoogle Scholar
  14. 14.
    Nealon WH, Walser E (2005) Surgical management of complications associated with percutaneous and/or endoscopic management of pseudocyst of the pancreas. Ann Surg 241:948–957CrossRefPubMedGoogle Scholar
  15. 15.
    Bradley EL, Howard TJ, van Sonnenberg E et al (2008) Intervention in necrotizing pancreatitis: an evidence-based review of surgical and percutaneous alternatives. J Gastrointest Surg 12:634–639CrossRefPubMedGoogle Scholar
  16. 16.
    Buchler MW, Gloor B, Mueller CA et al (2000) Acute necrotizing pancreatitis: treatment strategy according to the status of infection. Ann Surg 232:619–626CrossRefPubMedGoogle Scholar
  17. 17.
    Lee JK, Kwak KK, Park JK et al (2007) The efficacy of nonsurgical treatment of infected pancreatic necrosis. Pancreas 34:399–404CrossRefPubMedGoogle Scholar
  18. 18.
    Rodriguez JR, Razo AO, Targarona J et al (2008) Debridement and closed packing for sterile or infected necrotizing pancreatitis: insights into indications and outcomes in 167 patients. Ann Surg 247:294–299CrossRefPubMedGoogle Scholar
  19. 19.
    Yamakado K, Nakatsuka A, Tanaka N et al (2000) Transcatheter arterial embolization of ruptured pseudoaneurisms with coils and n-butyl cyanoacrylate. J Vasc Interv Radiol 11:66–72CrossRefPubMedGoogle Scholar
  20. 20.
    Shankar S, VanSonnenberg E, Silverman SG et al (2004) Imaging and percutaneous management of acute complicated pancreatitis. Cardiovasc Intervent Radiol 27:567–580CrossRefPubMedGoogle Scholar
  21. 21.
    Baker TA, Aaron JM, Borge M et al (2008) Role of interventional radiology in the management of complications after pancreaticoduodenectomy. Am J Surg 195:386–390CrossRefPubMedGoogle Scholar
  22. 22.
    Yamazaki S, Kuramoto K, Itoh Y (2003) A minimally invasive approach for postoperative pancreatic fistula. Cardiovasc Intervent Radiol 26:580–582CrossRefPubMedGoogle Scholar
  23. 23.
    Findeiss LK, Brandabur J, Traverso LW et al (2003) Percutaneous embolization of the pancreatic duct with cyanoacrylate tissue adhesive in disconnected duct syndrome. J Vasc Interv Radiol 14:107–111PubMedGoogle Scholar
  24. 24.
    Singh AK, Gervais DA, Alhilali LM et al (2006) Imaging-guided catheter drainage of abdominal collections with fistulous pancreaticobiliary communication. AJR Am J Roentgenol 187:1591–1596CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Italia 2009

Authors and Affiliations

  • Leonardo Costarelli
    • 1
  • Enrico Paci
    • 1
  • Ettore Antico
    • 1
  1. 1.Vascular and Interventional Radiology Unit, Department of RadiologyTorrette HospitalAnconaItaly

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