Complicated pancreatic inflammatory disease: Diagnostic and therapeutic role of interventional radiology
Diagnostic and therapeutic interventional radiology techniques in 41 patients with complications of pancreatic inflammatory disease are described. Computed tomography or ultrasound-guided aspiration or percutaneous pancreatic ductography enabled specific diagnoses in 43 of 45 patients (96%). Single-step needle aspiration of noninfected pseudocysts was successful in only three of ten patients (30%). Catheter drainage cured six of seven noninfected pseudocysts (85.7%) and seven of nine infected pseudocysts (77.7%). Pancreatic abscesses were drained successfully in nine of 13 patients (69.2%); temporizing benefit was achieved in the other four who eventually underwent surgery in improved condition. Early diagnosis of the complications of pancreatitis may be established almost uniformly, and at least 70% of patients with infected or noninfected pseudocysts and pancreatic abscesses may be cured by nonoperative drainage.
- Research Organization:
- Univ. of California Medical Center, San Diego
- OSTI ID:
- 5551914
- Report Number(s):
- CONF-851152-
- Journal Information:
- Radiology; (United States), Journal Name: Radiology; (United States) Vol. 155:2; ISSN RADLA
- Country of Publication:
- United States
- Language:
- English
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62 RADIOLOGY AND NUCLEAR MEDICINE
ABSCESSES
BIOMEDICAL RADIOGRAPHY
BODY
COMPUTERIZED TOMOGRAPHY
DIAGNOSIS
DIAGNOSTIC TECHNIQUES
DIGESTIVE SYSTEM
ENDOCRINE GLANDS
GLANDS
INFLAMMATION
MEDICINE
NUCLEAR MEDICINE
ORGANS
PANCREAS
PATHOLOGICAL CHANGES
PATIENTS
RADIOLOGY
SYMPTOMS
TOMOGRAPHY
ULTRASONOGRAPHY