The role of interventional radiology in the treatment of patients with pancreatic cancer

Uysal, Aycan; Ünal, Emre; Karaosmanoğlu, Ali Devrim; Arellano, Ronald S.; Çiftçi, Türkmen; Akıncı, Devrim; Akhan, Okan

doi:10.1259/bjr.20200702

Cited by 5 publications

(11 citation statements)

References 53 publications

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“…Afterwards, treatment may require removal of the catheter over a wire followed by selective angiography for precise location and embolisation of the bleeding artery. [13][14][15] In the past, some authors have argued that any demonstration of bile leakage should be managed with prompt surgical repair. 16 However, new studies have demonstrated that 96% of biliary leakages treated solely with IR techniques resolved completely without residual stenosis and with a low complication rate and a procedure-related mortality of 0%.…”

Section: Discussionmentioning

confidence: 99%

“…Afterwards, treatment may require removal of the catheter over a wire followed by selective angiography for precise location and embolisation of the bleeding artery. 13–15 …”

Section: Discussionmentioning

confidence: 99%

“…In these cases, the diagnosis can be made with CT angiography to locate the vascular injury. Afterwards, treatment may require removal of the catheter over a wire followed by selective angiography for precise location and embolisation of the bleeding artery 13–15…”

Section: Discussionmentioning

confidence: 99%

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Interventional treatment of biliodigestive anastomosis leaks with a modified percutaneous transhepatic cholangiodrainage

Benitez

Breiding

Roos

et al. 2022

BMJ Open Gastroenterol

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IntroductionBiliodigestive leaks are typically caused by an insufficiency at the surgical anastomosis. Biliodigestive anastomosis (BDA) insufficiencies can lead to bilomas, abscesses and vascular erosion in chronic conditions.Material and methodsWe performed a retrospective analysis of the medical and radiological records of all patients with biliodigestive insufficiency who received interventional treatment between July 2015 and February 2021. Nine patients (three with unilateral drainage and six with bilateral drainage) were treated with a modified percutaneous transhepatic cholangiodrainage (PTCD). Clinical success was considered after complete resolution of the peribiliary collections, absence of bile within the surgical drains, radiological patency of the BDA (contrast medium flowing properly through the BDA and no signs of leakage) and haemodynamic stability of the patient without signs of sepsis.ResultsClinical success was achieved in all nine patients. No patients required revision surgery to repair their BDA. The mean indwelling drainage time was 34.8±16.5 days. The mean number of interventional procedures performed per patient was 6.6±2.0.ConclusionPatients who present with BDA insufficiency may benefit from interventional radiological techniques. Our modified PTCD resolved the BDA leak in all nine cases and should be considered as a valuable option for the treatment of patients with this complication. Our technique demonstrated to be feasible and effective.

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Section: Discussionmentioning

confidence: 99%

“…Afterwards, treatment may require removal of the catheter over a wire followed by selective angiography for precise location and embolisation of the bleeding artery. 13–15 …”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Interventional treatment of biliodigestive anastomosis leaks with a modified percutaneous transhepatic cholangiodrainage

Benitez

Breiding

Roos

et al. 2022

BMJ Open Gastroenterol

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“…If an anastomotic leakage is demonstrated, after dilatation of the intrahepatic tract, an internal-external biliary drainage catheter can be placed passing enterohepatic anastomosis to drain the bile from the biliary tree to the bowel in order to also allow anastomosis healing. An external drainage catheter may also be placed in patients with suspected intestinal leakage [ 2 ]. The technical success of PTBD reported a high rate of success, as shown in a recent multicenter study with a technical success of 100% and clinical success of 78% [ 44 ].…”

Section: Percutaneous Transhepatic Biliary Drainagementioning

confidence: 99%

“…It has a very poor prognosis with a 5-year survival of 5%, which is mostly due to its aggressive biological nature and early local invasiveness. Surgical resection can be performed in about 15–20% of the patients at the time of diagnosis [ 2 ]. In the remaining patients with locally advanced or metastatic disease, palliative treatments are required [ 3 , 4 , 5 , 6 , 7 , 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

Interventional Radiological Management and Prevention of Complications after Pancreatic Surgery: Drainage, Embolization and Islet Auto-Transplantation

Mosconi

Cocozza

Piacentino

et al. 2022

JCM

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Pancreatic surgery still remains burdened by high levels of morbidity and mortality with a relevant incidence of complications, even in high volume centers. This review highlights the interventional radiological management of complications after pancreatic surgery. The current literature regarding the percutaneous drainage of fluid collections due to pancreatic fistulas, percutaneous transhepatic biliary drainage due to biliary leaks and transcatheter embolization (or stent–graft) due to arterial bleeding is analyzed. Moreover, also, percutaneous intra-portal islet auto-transplantation for the prevention of pancreatogenic diabetes in case of extended pancreatic resection is also examined. Moreover, a topic not usually treated in other similar reviewsas percutaneous intra-portal islet auto-transplantation for the prevention of pancreatogenic diabetes in case of extended pancreatic resection is also one of our areas of focus. In islet auto-transplantation, the patient is simultaneously donor and recipient. Differently from islet allo-transplantation, it does not require immunosuppression, has no risk of rejection and is usually efficient with a small number of transplanted islets.

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Pancreaticoduodenectomy: Effect of Nursing Instructions and Oral Postoperative Nutritional Supplementation on Patients Outcomes

Abdelmowla

Taha

et al. 2023

Tanta Scientific Nursing Journal

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Background: Adequate dietary oral intake is important to maintain nutritional status for patients after pancreaticoduodenectomy. Aim: This study was conducted to evaluate the effect of nursing instructions and oral postoperative nutritional supplementation on outcomes of patients following pancreaticoduodenectomy. Patients and methods: Research design: Quasi experimental (non-randomized) design. Sample and setting: Thirty-four adult patients diagnosed with pancreatic cancer and underwent pancreaticoduodenectomy was recruited from November 2021 to November 2022, in addition to 3 month follow-up period ended in February 2023. Patients were assigned non-randomly into 2 groups. Admitted patients during the first six months in hepatobiliary surgical unit at Al-Rajhi Liver and Gastroenterology Assiut University Hospital were included as control group (16 patients), while patients admitted during the next six months were included as study group (18 patients). Tools: Patient assessment sheet, shortform mini nutritional assessment scale, and Clavien-Dindo classification of surgical complications. Results: Study finding revealed a statistical significant difference (p = 0.0001) with improvement in study group after 3 months postoperatively regarding nutritional status and albumin and protein levels. Reduced length of hospital stay for study group 10 (55.6%) less than 10 days compared to control group 10 (62.5%) from 10-15 days. Complications did not occur in about one-third of study group 6 (33.3%) compared to 3 (18.8%) in control group. Conclusion: Nursing instructions and oral postoperative nutritional supplementation reduced hospital stay, improved nutritional status, albumin and protein levels and reduced postoperative complications. Recommendation: Nursing instructions (educational booklet) and oral postoperative nutritional supplementation should be utilized in all liver and gastroenterology hospitals as teaching guide for patients undergoing pancreaticoduodenectomy.

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The role of interventional radiology in the treatment of patients with pancreatic cancer

Cited by 5 publications

References 53 publications

Interventional treatment of biliodigestive anastomosis leaks with a modified percutaneous transhepatic cholangiodrainage

Interventional treatment of biliodigestive anastomosis leaks with a modified percutaneous transhepatic cholangiodrainage

Interventional Radiological Management and Prevention of Complications after Pancreatic Surgery: Drainage, Embolization and Islet Auto-Transplantation

Pancreaticoduodenectomy: Effect of Nursing Instructions and Oral Postoperative Nutritional Supplementation on Patients Outcomes

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