Radical pancreatectomy

Postoperative evaluation by CT

Jay Heiken, D. M. Balfe, D. Picus, D. W. Scharp

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Twenty-four patients who had undergone radical pancreatic resection were evaluated by CT one week to 11 years after surgery. Eighteen patients had had the Whipple procuedure; six had had total pancreatectomy. The region between the aorta and superior mesenteric artery, previously occupied by the uncinate process of the pancreas, is an important area to evaluate for tumor recurrence because periampullary tumors tend to metastasize to the lymph nodes in this region. Tumor recurrence here is readily detectable by CT since radical pancreatectomy leaves this area free of soft tissue attenuation material. Administration of glucagon prior to CT scanning helps fill the afferent jejunal loop with oral contrast material, and thus helps define right upper quadrant anatomy. CT demonstrated postoperative complications or tumor recurrence in 16 of the 24 patients and was 100% accurate in patients who had follow-up.

Original languageEnglish (US)
Pages (from-to)211-215
Number of pages5
JournalRadiology
Volume153
Issue number1
DOIs
StatePublished - Jan 1 1984
Externally publishedYes

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Pancreatectomy
Recurrence
Neoplasms
Superior Mesenteric Artery
Glucagon
Contrast Media
Aorta
Pancreas
Anatomy
Lymph Nodes

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Radical pancreatectomy : Postoperative evaluation by CT. / Heiken, Jay; Balfe, D. M.; Picus, D.; Scharp, D. W.

In: Radiology, Vol. 153, No. 1, 01.01.1984, p. 211-215.

Research output: Contribution to journalArticle

Heiken, Jay ; Balfe, D. M. ; Picus, D. ; Scharp, D. W. / Radical pancreatectomy : Postoperative evaluation by CT. In: Radiology. 1984 ; Vol. 153, No. 1. pp. 211-215.
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