Role of interventional radiology in the management of complications after pancreatic surgery: a pictorial review

Giovanni Mauri, Chiara Mattiuz, Luca Maria Sconfienza, Vittorio Pedicini, Dario Poretti, Fabio Melchiorre, Umberto Rossi, Fabio Romano Lutman, Marco Montorsi

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Pancreatic resections are surgical procedures associated with high incidence of complications, with relevant morbidity and mortality even at high volume centres. A multidisciplinary approach is essential in the management of these events and interventional radiology plays a crucial role in the treatment of patients developing post-surgical complications. This paper offers an overview on the interventional radiological procedures that can be performed to treat different type of complications after pancreatic resection. Procedures such as percutaneous drainage of fluid collections, percutaneous transhepatic biliary procedures, arterial embolisation, venous interventions and fistula embolisation are viable treatment options, with fewer complications compared with re-look surgery, shorter hospital stay and faster recovery. A selection of cases of complications following pancreatic surgery managed with interventional radiological procedure are presented and discussed.

Teaching Points

• Interventional radiology is crucial to treat complications after pancreatic surgery

• Percutaneous drainage of collections can be performed under ultrasound or computed tomography guidance

• Percutaneous biliary procedures can be used to treat biliary complications

• Venous procedures can be performed effectively through transhepatic or transjugular access

• Fistulas can be treated effectively by percutaneous embolisation

Original languageEnglish
Pages (from-to)231-239
Number of pages9
JournalInsights into Imaging
Volume6
Issue number2
DOIs
Publication statusPublished - Apr 1 2015

Fingerprint

Interventional Radiology
Fistula
Drainage
Length of Stay
Teaching
Tomography
Morbidity
Mortality
Incidence
Therapeutics

Keywords

  • Biliary drainage
  • Complication
  • Duodenopancreasectomy
  • Embolisation
  • Interventional radiology

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Role of interventional radiology in the management of complications after pancreatic surgery : a pictorial review. / Mauri, Giovanni; Mattiuz, Chiara; Sconfienza, Luca Maria; Pedicini, Vittorio; Poretti, Dario; Melchiorre, Fabio; Rossi, Umberto; Lutman, Fabio Romano; Montorsi, Marco.

In: Insights into Imaging, Vol. 6, No. 2, 01.04.2015, p. 231-239.

Research output: Contribution to journalArticle

@article{037236664518443b84d8817edf28c044,
title = "Role of interventional radiology in the management of complications after pancreatic surgery: a pictorial review",
abstract = "Pancreatic resections are surgical procedures associated with high incidence of complications, with relevant morbidity and mortality even at high volume centres. A multidisciplinary approach is essential in the management of these events and interventional radiology plays a crucial role in the treatment of patients developing post-surgical complications. This paper offers an overview on the interventional radiological procedures that can be performed to treat different type of complications after pancreatic resection. Procedures such as percutaneous drainage of fluid collections, percutaneous transhepatic biliary procedures, arterial embolisation, venous interventions and fistula embolisation are viable treatment options, with fewer complications compared with re-look surgery, shorter hospital stay and faster recovery. A selection of cases of complications following pancreatic surgery managed with interventional radiological procedure are presented and discussed.Teaching Points• Interventional radiology is crucial to treat complications after pancreatic surgery• Percutaneous drainage of collections can be performed under ultrasound or computed tomography guidance• Percutaneous biliary procedures can be used to treat biliary complications• Venous procedures can be performed effectively through transhepatic or transjugular access• Fistulas can be treated effectively by percutaneous embolisation",
keywords = "Biliary drainage, Complication, Duodenopancreasectomy, Embolisation, Interventional radiology",
author = "Giovanni Mauri and Chiara Mattiuz and Sconfienza, {Luca Maria} and Vittorio Pedicini and Dario Poretti and Fabio Melchiorre and Umberto Rossi and Lutman, {Fabio Romano} and Marco Montorsi",
year = "2015",
month = "4",
day = "1",
doi = "10.1007/s13244-014-0372-y",
language = "English",
volume = "6",
pages = "231--239",
journal = "Insights into Imaging",
issn = "1869-4101",
publisher = "Springer Science and Business Media Deutschland GmbH",
number = "2",

}

TY - JOUR

T1 - Role of interventional radiology in the management of complications after pancreatic surgery

T2 - a pictorial review

AU - Mauri, Giovanni

AU - Mattiuz, Chiara

AU - Sconfienza, Luca Maria

AU - Pedicini, Vittorio

AU - Poretti, Dario

AU - Melchiorre, Fabio

AU - Rossi, Umberto

AU - Lutman, Fabio Romano

AU - Montorsi, Marco

PY - 2015/4/1

Y1 - 2015/4/1

N2 - Pancreatic resections are surgical procedures associated with high incidence of complications, with relevant morbidity and mortality even at high volume centres. A multidisciplinary approach is essential in the management of these events and interventional radiology plays a crucial role in the treatment of patients developing post-surgical complications. This paper offers an overview on the interventional radiological procedures that can be performed to treat different type of complications after pancreatic resection. Procedures such as percutaneous drainage of fluid collections, percutaneous transhepatic biliary procedures, arterial embolisation, venous interventions and fistula embolisation are viable treatment options, with fewer complications compared with re-look surgery, shorter hospital stay and faster recovery. A selection of cases of complications following pancreatic surgery managed with interventional radiological procedure are presented and discussed.Teaching Points• Interventional radiology is crucial to treat complications after pancreatic surgery• Percutaneous drainage of collections can be performed under ultrasound or computed tomography guidance• Percutaneous biliary procedures can be used to treat biliary complications• Venous procedures can be performed effectively through transhepatic or transjugular access• Fistulas can be treated effectively by percutaneous embolisation

AB - Pancreatic resections are surgical procedures associated with high incidence of complications, with relevant morbidity and mortality even at high volume centres. A multidisciplinary approach is essential in the management of these events and interventional radiology plays a crucial role in the treatment of patients developing post-surgical complications. This paper offers an overview on the interventional radiological procedures that can be performed to treat different type of complications after pancreatic resection. Procedures such as percutaneous drainage of fluid collections, percutaneous transhepatic biliary procedures, arterial embolisation, venous interventions and fistula embolisation are viable treatment options, with fewer complications compared with re-look surgery, shorter hospital stay and faster recovery. A selection of cases of complications following pancreatic surgery managed with interventional radiological procedure are presented and discussed.Teaching Points• Interventional radiology is crucial to treat complications after pancreatic surgery• Percutaneous drainage of collections can be performed under ultrasound or computed tomography guidance• Percutaneous biliary procedures can be used to treat biliary complications• Venous procedures can be performed effectively through transhepatic or transjugular access• Fistulas can be treated effectively by percutaneous embolisation

KW - Biliary drainage

KW - Complication

KW - Duodenopancreasectomy

KW - Embolisation

KW - Interventional radiology

UR - http://www.scopus.com/inward/record.url?scp=84925840551&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84925840551&partnerID=8YFLogxK

U2 - 10.1007/s13244-014-0372-y

DO - 10.1007/s13244-014-0372-y

M3 - Article

AN - SCOPUS:84925840551

VL - 6

SP - 231

EP - 239

JO - Insights into Imaging

JF - Insights into Imaging

SN - 1869-4101

IS - 2

ER -