الفهرس 
Surgical Anatomy Of PancreasOnly 14 pages are availabe for public view
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Abstract
Pancreatitis encompasses a group of disorders characterized by inflammation of the pancreas. The clinical manifestations can range in severity from a mild, self-limited disease to a life-threatening acute inflammatory process, and the duration of the disease can range from a transient attack to an irreversible loss of function.
Acute pancreatitis is one of the more commonly encountered aetiologies in the emergency setting and its incidence is rising. Presentations range from a mild-self limiting condition which usually responds to conservative management to one with significant morbidity and mortality in its most severe forms. While clinical criteria are necessary to make the initial diagnosis, contrast-enhanced CT is the mainstay of imaging and has a vital role in assessing the extent and evaluation of the disease and its associated complications.
Imaging, most commonly with contrast-enhanced computed tomography (CE-CT), plays a significant role in the identification of local and systemic complications and in planning further management. Image-guided interventional procedures tend to be less invasive than surgery, often reducing the need for surgical intervention, and thereby improving outcome.
Late complications of acute pancreatitis significantly add to the degree of morbidity. Image-guided intervention has an important role in the management of these complications.
Imaging-guided percutaneous drainage is a safe and effective treatment for abscesses. Interventional radiologists may use US, fluoroscopy, and CT for guidance of catheter placement in numerous locations in the abdomen and pelvis. Physicians, nurses, and technologists in the interventional suite should be trained to address the specific needs of patients. After catheter placement, the performance of daily hospital rounds and the judicious use of follow-up imaging will help to optimize patient outcomes. Exchange or repositioning of the catheter, or insertion of an additional catheter, as well as adjuvant thrombolytic therapy, may be needed to achieve complete drainage.
Although the vascular complications following pancreatitis are not very common, they should be considered in every patient with pancreatitis. These complications if diagnosed and managed early will result in considerable reduction of morbidity and mortality.