A new evaluation of pancreatic function after pancreatoduodenectomy using secretin magnetic resonance cholangiopancreatography

Pancreatic Duct: Morphologic Evaluation with MR Cholangiopancreatography after Secretin Stimulation

“…The duodenal filling grade at MRCP after secretin stimulation allows specific estimation of the pancreatic exocrine function (13)(14)(15)25), but high signal intensity in the bowel is also an obstacle to evaluation of the pancreaticobiliary system on images obtained with the singleshot RARE sequence (26). In this study, duodenal filling impaired evaluation of the pancreaticobiliary system after secretin stimulation, although we used peroral negative contrast media prior to MR imaging to eliminate intensified signals from the gastrointestinal tract.…”

Lateral Pancreatogastrostomy for Stenotic Pancreatojejunostomy After Pancreatoduodenectomy: A Case Report

“…It may be discovered only after systematic explorations of patients following pancreaticogastrostomy or pancreaticojejunostomy (occurrence in 60% and 29% of cases respectively) [8]. Currently, pancreatic-MRI, possibly coupled with an injection of secretin, seems to be the best examination to evaluate the permeability and the functionality of pancreatico-digestive anastomoses [9]. PET CT scan is now becoming essential part of evaluation to rule out recurrence as well as metastatic disease [10].…”

Pancreatic remnant fate

“…Many cohorts are based on limited number of patients ranging from 19 to 73 [9,13,16,20,[24][25][26][27]. Surprisingly, the largest series from Hyodo et al [13] documented negligible pancreatic duct dilatation after PG and no symptoms of exo-and endocrine insufficiency.…”