By P. M. Dubois (auth.), Albert L. Baert MD, Guy Delorme MD, Lieven Van Hoe MD, PhD (eds.)
'Radiology of the Pancreas'discusses the diagnostic function of some of the imaging modalities presently on hand for the evaluation of pancreatic anatomy and affliction. compared to the 1st version, new technical advancements (helical CT, ultrafast magnetic resonance imaging, colour Doppler ultrasound, laparoscopic ultrasound), were integrated, and a number of other chapters were considerably extended. by way of a number of illustrations, the conventional radiological anatomy, anatomical versions, the common and strange radiological positive factors of either universal and unusual ailments, and capability pitfalls are thought of intensive. all the chapters were written by means of well-known specialists within the box, and the e-book could be of worth to all radiologists and different experts who deal with sufferers with panreatic illness or who've an curiosity within the subject.
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Extra resources for Radiology of the Pancreas
According to VARLEY and coworkers, the sigmoid configuration (ascendinghorizontal-ascending) and the pistol pattern (ascending-horizontal-horizontal) are the most common types (40% and 30%, respectively) (VARLEY et al. 1976) (Fig. 15). Other groups have reported slightly different results (CLASSEN et al. 1973; KASUGAI et al. 1972). From a practical point of view, it should be stressed that variations in the course of the pancreatic duct are so numerous that nearly every configuration can be normal.
3 Variations in Vascular Anatomy The multiple variations of the celiac and superior mesenteric arteries and their branches are nicely explained by several authors (MICHELS 1955; NEBASAR et al. 1969; FREENY and LAWSON 1982). A detailed description of these variants is beyond the scope of this text. The discussion will be limited to those variants that may be of importance in clinical radiological practice, either because they have surgical relevance (see Sect. 1) or because they may cause difficulties in the interpretation of imaging studies (see Sects.
Note the presence of air in the gastric lumen with reverberations causing suboptimal visualization of part of the pancreatic body. This problem can usually be overcome by changing the position of the patient itored the size of the pancreatic duct before and after administration of IV secretin. Prolonged ( 15-30 min) dilation of the pancreatic duct was nearly exclusively found in patients with stenosis of the accessory papilla (WARSHAW et al. 1990). Similarly, oral administration of a fatty meal may be useful in the evaluation of the distal common bile duct and sphincter complex.
Radiology of the Pancreas by P. M. Dubois (auth.), Albert L. Baert MD, Guy Delorme MD, Lieven Van Hoe MD, PhD (eds.)