By L. Saez
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Additional resources for Pancreatitis - Treatment and Complications
As with other modalities, CBD dilatation may signal an underlying obstructing stone or mass and may require further evaluation with other methods in order to elucidate the underlying cause. Fig. 2. Coronal reformatted CT centered on the distal CBD. Two dense stones(arrows) are noted in the distal CBD. The CBD is dilated secondary to the obstructing stones. 3 Magnetic resonance cholangiopancreatography Magnetic resonance cholangiopancreatography (MRCP) is the most sensitive and specific non-invasive method of assessing the biliary system for choledocholithiasis as an underlying etiology for pancreatitis.
It is more likely in children with structural anomalies, idiopathic and familial causes (Nydegger et al, 2006). 2 Chronic pancreatitis Unlike acute pancreatitis in which complete reversal of the inflammatory changes occurs upon resolution of the episodes, chronic pancreatitis is characterised by permanent structural changes in the pancreas associated with varying degrees of pancreatic dysfunction and, accordingly, increased risk of developing pancreatic insufficiency, adenocarcinoma, and pancreatic pseudocysts.
The signal of the surrounding soft tissues saturates out, thus allowing for exquisite visualization of the bright bile ducts in the background of low intensity surrounding soft tissues (Figure 3). In this setting biliary duct stones appear as dark signal voids within the bright bile fluid (Figure 4). MRCP is comparable to ERCP with respect to its sensitivity in the detection of choledocholithiasis (Table 1). Although MRCP has lower special resolution as compared to ERCP and therapeutic interventions cannot be performed, it does afford several advantages.
Pancreatitis - Treatment and Complications by L. Saez