Cross-sectional imaging after pancreatic surgery: The dialogue between the radiologist and the surgeon

Pancreatic surgery is nowadays considered one of the most complex surgical approaches and not unscathed from complications. After the surgical procedure, cross-sectional imaging is considered the non-invasive reference standard to detect early and late compilations, and consequently to address patie...

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Main Authors: Cesare Maino, Marco Cereda, Paolo Niccolò Franco, Piero Boraschi, Roberto Cannella, Luca Vittorio Gianotti, Giulia Zamboni, Federica Vernuccio, Davide Ippolito
Format: Article
Language:English
Published: Elsevier 2024-06-01
Series:European Journal of Radiology Open
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352047723000709
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author Cesare Maino
Marco Cereda
Paolo Niccolò Franco
Piero Boraschi
Roberto Cannella
Luca Vittorio Gianotti
Giulia Zamboni
Federica Vernuccio
Davide Ippolito
author_facet Cesare Maino
Marco Cereda
Paolo Niccolò Franco
Piero Boraschi
Roberto Cannella
Luca Vittorio Gianotti
Giulia Zamboni
Federica Vernuccio
Davide Ippolito
author_sort Cesare Maino
collection DOAJ
description Pancreatic surgery is nowadays considered one of the most complex surgical approaches and not unscathed from complications. After the surgical procedure, cross-sectional imaging is considered the non-invasive reference standard to detect early and late compilations, and consequently to address patients to the best management possible. Contras-enhanced computed tomography (CECT) should be considered the most important and useful imaging technique to evaluate the surgical site. Thanks to its speed, contrast, and spatial resolution, it can help reach the final diagnosis with high accuracy. On the other hand, magnetic resonance imaging (MRI) should be considered as a second-line imaging approach, especially for the evaluation of biliary findings and late complications. In both cases, the radiologist should be aware of protocols and what to look at, to create a robust dialogue with the surgeon and outline a fitted treatment for each patient.
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spelling doaj.art-9381e9e830154f949b0a11bcafaf65fe2024-01-20T04:45:43ZengElsevierEuropean Journal of Radiology Open2352-04772024-06-0112100544Cross-sectional imaging after pancreatic surgery: The dialogue between the radiologist and the surgeonCesare Maino0Marco Cereda1Paolo Niccolò Franco2Piero Boraschi3Roberto Cannella4Luca Vittorio Gianotti5Giulia Zamboni6Federica Vernuccio7Davide Ippolito8Department of Diagnostic Radiology, Fondazione IRCCS San Gerardo dei Tintori, 20900 Monza, MB, Italy; Corresponding author.Department of Surgery, Fondazione IRCCS San Gerardo dei Tintori, 20900 Monza, MB, ItalyDepartment of Diagnostic Radiology, Fondazione IRCCS San Gerardo dei Tintori, 20900 Monza, MB, ItalyRadiology Unit, Azienda Ospedaliero-Universitaria Pisana, 56124 Pisa, ItalyDepartment of Biomedicine, Neuroscience and Advanced Diagnostics (BiND), University of Palermo, 90127 Palermo, ItalyDepartment of Surgery, Fondazione IRCCS San Gerardo dei Tintori, 20900 Monza, MB, Italy; School of Medicine, Università Milano-Bicocca, Piazza dell’Ateneo Nuovo, 1, 20100 Milano, ItalyInstitute of Radiology, Department of Diagnostics and Public Health, University and Azienda Ospedaliera Universitaria Integrata of Verona, Verona, ItalyUniversity Hospital of Padova, Institute of Radiology, 35128 Padova, ItalyDepartment of Diagnostic Radiology, Fondazione IRCCS San Gerardo dei Tintori, 20900 Monza, MB, Italy; School of Medicine, Università Milano-Bicocca, Piazza dell’Ateneo Nuovo, 1, 20100 Milano, ItalyPancreatic surgery is nowadays considered one of the most complex surgical approaches and not unscathed from complications. After the surgical procedure, cross-sectional imaging is considered the non-invasive reference standard to detect early and late compilations, and consequently to address patients to the best management possible. Contras-enhanced computed tomography (CECT) should be considered the most important and useful imaging technique to evaluate the surgical site. Thanks to its speed, contrast, and spatial resolution, it can help reach the final diagnosis with high accuracy. On the other hand, magnetic resonance imaging (MRI) should be considered as a second-line imaging approach, especially for the evaluation of biliary findings and late complications. In both cases, the radiologist should be aware of protocols and what to look at, to create a robust dialogue with the surgeon and outline a fitted treatment for each patient.http://www.sciencedirect.com/science/article/pii/S2352047723000709PancreasPancreatectomyPancreaticojejunostomyPancreaticoduodenectomyPostoperative complications
spellingShingle Cesare Maino
Marco Cereda
Paolo Niccolò Franco
Piero Boraschi
Roberto Cannella
Luca Vittorio Gianotti
Giulia Zamboni
Federica Vernuccio
Davide Ippolito
Cross-sectional imaging after pancreatic surgery: The dialogue between the radiologist and the surgeon
European Journal of Radiology Open
Pancreas
Pancreatectomy
Pancreaticojejunostomy
Pancreaticoduodenectomy
Postoperative complications
title Cross-sectional imaging after pancreatic surgery: The dialogue between the radiologist and the surgeon
title_full Cross-sectional imaging after pancreatic surgery: The dialogue between the radiologist and the surgeon
title_fullStr Cross-sectional imaging after pancreatic surgery: The dialogue between the radiologist and the surgeon
title_full_unstemmed Cross-sectional imaging after pancreatic surgery: The dialogue between the radiologist and the surgeon
title_short Cross-sectional imaging after pancreatic surgery: The dialogue between the radiologist and the surgeon
title_sort cross sectional imaging after pancreatic surgery the dialogue between the radiologist and the surgeon
topic Pancreas
Pancreatectomy
Pancreaticojejunostomy
Pancreaticoduodenectomy
Postoperative complications
url http://www.sciencedirect.com/science/article/pii/S2352047723000709
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