Popis: |
Percutaneous needling and catheterization guided by radiologic imaging have become well-accepted and valuable adjuncts for the treatment of complications of pancreatitis. Diagnostic aspiration of pancreatic collections has value in establishing the presence of infection. Catheter drainage is a safe and efficacious method to treat infected and noninfected pancreatic pseudocysts. Percutaneous drainage usually is beneficial with pancreatic abscess as well (Fig. 1). Pancreatic necrosis can be quite problematic, and pancreatic phlegmon is generally not in the purview of catheter drainage. This article will focus on the indications, problems, and role of catheter drainage for the severe complications of pancreatitis — pseudocyst, abscess, and necrosis. |