Diagnosis of Duct Disruption and Assessment of Pancreatic Leak with Dynamic Secretin-Stimulated MR Cholangiopancreatography

• Published in: American journal of roentgenology (1976) Vol. 186; no. 2; pp. 499 - 506
• Main Authors: Gillams, A. R, Kurzawinski, T, Lees, W. R
• Format: Journal Article
• Language: English
• Published: Leesburg, VA Am Roentgen Ray Soc 01.02.2006; American Roentgen Ray Society
• Subjects: Adolescent; Adult; Aged; Biological and medical sciences; Child; Cholangiopancreatography, Endoscopic Retrograde - adverse effects; Cholangiopancreatography, Magnetic Resonance; Digestive system; Female; Humans; Investigative techniques, diagnostic techniques (general aspects); Male; Medical sciences; Middle Aged; Pancreatic Ducts - injuries; Pancreatic Ducts - pathology; Pancreatitis - pathology; Radiodiagnosis. Nmr imagery. Nmr spectrometry; Secretin; Cholangiopancreatography; Secretin; Gastrointestinal hormone; Diagnosis; Radiodiagnosis; Pancreatic duct
• ISSN: 0361-803X; 1546-3141
• DOI: 10.2214/AJR.04.1775

The management of pancreatic duct disruption is complex and depends on several factors including the cause, morphology, and degree of disruption. ERCP can show duct disruption in as many as 75% of patients but is invasive and cannot detect disruption beyond an obstruction. We studied the role of secretin MR cholangiopancreatography in patients with suspected pancreatic duct disruption. Secretin MR cholangiopancreatography is a safe, noninvasive test that can provide additional useful information about duct integrity and facilitate management.