CC BY-NC-ND 4.0 · Journal of Gastrointestinal and Abdominal Radiology 2020; 3(01): 099-113
DOI: 10.1055/s-0039-3401335
Review Article

The Role of Interventional Radiology in the Management of Pancreatic Pathologies

Ghali Salahia
1   Department of Radiology, University Hospital of Wales, Cardiff, United Kingdom
,
Sook Cheng Chin
2   Department of Radiology, Ninewells Hospital, Dundee, United Kingdom
,
Ian Zealley
2   Department of Radiology, Ninewells Hospital, Dundee, United Kingdom
,
Richard D. White
1   Department of Radiology, University Hospital of Wales, Cardiff, United Kingdom
› Author Affiliations

Abstract

Pancreatic pathologies are varied and wide-ranging, and a multidisciplinary approach is essential for effective diagnosis and management. We describe image-guided percutaneous (nonendoscopic) interventions in the management of pancreatic disease, with emphasis on inflammatory and neoplastic pancreatic pathologies and on the transplanted pancreas. Image-guided treatments for the complications of pancreatitis include percutaneous interventions on simple and complex peripancreatic collections, pseudocysts, and fistulas. Vascular interventions predominantly focus on the treatment of pseudoaneurysms, hemorrhagic pseudocysts, and arteriovenous malformations. Emerging ablative techniques for pancreatic cancer are promising and include percutaneous radiofrequency ablation, microwave ablation, irreversible electroporation, and electrochemotherapy. Image-guided interventions on the transplanted pancreas commonly include percutaneous biopsy and drainage in addition to endovascular treatments of vascular complications.



Publication History

Article published online:
10 January 2020

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Thieme Medical and Scientific Publishers Private Ltd.
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