Abstract
Necrotic pancreatitis is a complex clinical entity that requires collaboration of care from surgeons, gastroenterologists, and interventional radiologists. CT scans play a pivotal role in the diagnosis of pancreatic necrosis, while image-guided percutaneous pancreatic drainage is a safe and effective treatment method in certain cases. The diagnostic criteria for pancreatic necrosis, indications for pancreatic drainage, technique, and efficacy are discussed in this article.
Similar content being viewed by others
References
vanSonnenberg E, Wittich GR, Chon KS, et al. Percutaneous radiologic drainage of pancreatic abscesses. AJR Am J Roentgenol 1997;168:979–984.
Bradley EL III. A clinically based classification system for acute pancreatitis: summary of the International Symposium on Acute Pancreatitis, Atlanta, Ga. Arch Surg 1993:128:586–590.
Ranson JHC, Rifkind KM, Roses DF, Fink SD, Eng K, Spencer FC. Prognostic signs and the role of operative management in acute pancreatitis. Surg Gynecol Obstet 1974;139:69–81.
Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II: a severity of disease classification system. Crit Care Med 1985;13:818–829.
Balthazar EJ, Robinson DL, Megibow AJ, Ranson JHC. Acute pancreatitis: value of CT in establishing prognosis. Radiology 1990;174:331–336.
Balthazar EJ, Freeny PC, vanSonnenberg E. Imaging and intervention in acute pancreatitis. Radiology 1994;193:297–306.
Mortele KJ, Wiesner W, Intriere L, et al. A modified CT severity index for evaluating acute pancreatitis: improved correlation with patient outcome. AJR Am J Roentgenol 2004;183:1261–1265.
Shankar S, vanSonnenberg E, Silverman SG, Tuncali K, Banks PA. Imaging and percutaneous management of acute complicated pancreatitis. Cardiovasc Intervent Radiol 2004;27:567–580.
vanSonnenberg E, Wing VW, Casola G, et al. Temporizing effect of percutaneous drainage of complicated abscesses in critically ill patients. AJR Am J Roentgenol 1984;142:821–826.
Freeny PC, Hauptmann E, Althaus SJ, Traverso LW, Sinanan M. Percutaneous CT-guided catheter drainage of infected acute necrotizing pancreatitis: techniques and results. AJR 1998;170:969–975.
Echenique AM, Sleeman D, Yrizarry J, et al. Percutaneous catheter-directed debridement of infected pancreatic necrosis: results in 20 patients. J Vasc Interv Radiol 1998;9:565–571.
Shonnard KM, McCarter DL, Lyon RD. Percutaneous debridement of infected pancreatic necrosis with nitinol snares. JVIR 1997;8:279–282.
Zorger N, Hamer OW, Feuerbach S, Borisch I. Percutaneous treatment of a patient with infected necrotizing pancreatitis. Nat Clin Pract Gastroenterol Hepatol 2005;2:54–57.
Dyer RB, Regan JD, Kavanagh PV, Khatod EG, Chen MY, Zagoria RJ. Percutaneous nephrostomy with extensions of the technique: step by step. Radiographics 2002;22:503–525.
Lee MJ, Wittich GR, Mueller PR. Percutaneous intervention in acute pancreatitis. Radiographics 1998;18:711–24.
Bradley EL III, Howard TJ, vanSonnenberg E, Fotoohi M. Intervention in necrotizing pancreatitis: an evidence-based review of surgical and percutaneous alternatives. J Gastrointest Surg 2008;12:634–639.
Mortele KJ, Girshman J, Szejnfeld D, et al. CT-guided percutaneous catheter drainage of acute necrotizing pancreatitis: clinical experience and observations in patients with sterile and infected necrosis. AJR Am J Roentgenol 2009;192:110–116.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Mamlouk, M.D., vanSonnenberg, E. Interventional Radiology for Necrotizing Pancreatitis. J Gastrointest Surg 15, 1101–1103 (2011). https://doi.org/10.1007/s11605-011-1507-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11605-011-1507-9