{"id":91,"date":"2018-09-05T09:00:32","date_gmt":"2018-09-05T08:00:32","guid":{"rendered":"https:\/\/journals.myesr.org\/insights-imaging\/2018\/09\/05\/elucidating-early-ct-pancreatico-duodenectomy\/"},"modified":"2018-09-05T09:00:32","modified_gmt":"2018-09-05T08:00:32","slug":"elucidating-early-ct-pancreatico-duodenectomy","status":"publish","type":"post","link":"https:\/\/journals.myesr.org\/insights-imaging\/highlights\/elucidating-early-ct-pancreatico-duodenectomy\/","title":{"rendered":"Elucidating early CT after pancreatico-duodenectomy"},"content":{"rendered":"<p>Pancreatico-duodenectomy (PD) is the standard surgical treatment for resectable malignancies of the pancreatic head, distal common bile duct, periampullary region and duodenum, and is also performed to manage selected benign tumours and refractory chronic pancreatitis. This paper provides an overview of surgical indications and techniques, discusses risk factors and clinical manifestations of the usual postsurgical complications, and suggests appropriate techniques and indications for early postoperative CT imaging. It also presents normal early post-PD CT findings and reviews the most common and some unusual complications through imaging examples.<\/p>\n<p><span style=\"text-decoration: underline;\"><strong>Teaching Points<\/strong><\/span>:<br \/>\n\u2022 Pancreatico-duodenectomy (PD) is a technically demanding surgery burdened with high morbidity (40\u201350%).<br \/>\n\u2022 Multidetector CT is the mainstay technique to investigate suspected complications following PD.<br \/>\n\u2022 Interpreting post-PD CT requires knowledge of surgically altered anatomy and expected findings.<br \/>\n\u2022 CT showing collection at surgical site supports clinico-biological diagnosis of pancreatic fistula.<br \/>\n\u2022 Other complications include biliary leaks, haemorrhage, abscesses and venous thrombosis.<\/p>\n<p><span style=\"text-decoration: underline;\"><strong>Article<\/strong><\/span>: <a href=\"https:\/\/link.springer.com\/article\/10.1007\/s13244-018-0616-3\" target=\"_blank\" rel=\"noopener\"><strong>Elucidating early CT after pancreatico-duodenectomy: a primer for radiologists<\/strong><\/a><\/p>\n<p><span style=\"text-decoration: underline;\"><strong>Authors<\/strong><\/span>: Massimo Tonolini, Anna Maria Ierardi, Gianpaolo Carrafiello<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pancreatico-duodenectomy (PD) is the standard surgical treatment for resectable malignancies of the pancreatic head, distal common bile duct, periampullary region and duodenum, and is also performed to manage selected benign tumours and refractory chronic pancreatitis. This paper provides an overview of surgical indications and techniques, discusses risk factors and clinical manifestations of the usual postsurgical [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":92,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","inline_featured_image":false,"footnotes":""},"categories":[3],"tags":[],"class_list":["post-91","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-highlights"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Elucidating early CT after pancreatico-duodenectomy - Insights into Imaging<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/journals.myesr.org\/insights-imaging\/highlights\/elucidating-early-ct-pancreatico-duodenectomy\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Elucidating early CT after pancreatico-duodenectomy - Insights into Imaging\" \/>\n<meta property=\"og:description\" content=\"Pancreatico-duodenectomy (PD) is the standard surgical treatment for resectable malignancies of the pancreatic head, distal common bile duct, periampullary region and duodenum, and is also performed to manage selected benign tumours and refractory chronic pancreatitis. This paper provides an overview of surgical indications and techniques, discusses risk factors and clinical manifestations of the usual postsurgical [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/journals.myesr.org\/insights-imaging\/highlights\/elucidating-early-ct-pancreatico-duodenectomy\/\" \/>\n<meta property=\"og:site_name\" content=\"Insights into Imaging\" \/>\n<meta property=\"article:published_time\" content=\"2018-09-05T08:00:32+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/journals.myesr.org\/insights-imaging\/wp-content\/uploads\/sites\/3\/2025\/09\/BluePancreas-scaled.jpeg\" \/>\n\t<meta property=\"og:image:width\" content=\"2560\" \/>\n\t<meta property=\"og:image:height\" content=\"1877\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"devsk\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"devsk\" \/>\n\t<meta name=\"twitter:label2\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/journals.myesr.org\/insights-imaging\/highlights\/elucidating-early-ct-pancreatico-duodenectomy\/\",\"url\":\"https:\/\/journals.myesr.org\/insights-imaging\/highlights\/elucidating-early-ct-pancreatico-duodenectomy\/\",\"name\":\"Elucidating early CT after pancreatico-duodenectomy - Insights into Imaging\",\"isPartOf\":{\"@id\":\"https:\/\/journals.myesr.org\/insights-imaging\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/journals.myesr.org\/insights-imaging\/highlights\/elucidating-early-ct-pancreatico-duodenectomy\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/journals.myesr.org\/insights-imaging\/highlights\/elucidating-early-ct-pancreatico-duodenectomy\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/journals.myesr.org\/insights-imaging\/wp-content\/uploads\/sites\/3\/2025\/09\/BluePancreas-scaled.jpeg\",\"datePublished\":\"2018-09-05T08:00:32+00:00\",\"author\":{\"@id\":\"https:\/\/journals.myesr.org\/insights-imaging\/#\/schema\/person\/9e0037141ecf4639286bd117d53c7f8f\"},\"breadcrumb\":{\"@id\":\"https:\/\/journals.myesr.org\/insights-imaging\/highlights\/elucidating-early-ct-pancreatico-duodenectomy\/#breadcrumb\"},\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/journals.myesr.org\/insights-imaging\/highlights\/elucidating-early-ct-pancreatico-duodenectomy\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\/\/journals.myesr.org\/insights-imaging\/highlights\/elucidating-early-ct-pancreatico-duodenectomy\/#primaryimage\",\"url\":\"https:\/\/journals.myesr.org\/insights-imaging\/wp-content\/uploads\/sites\/3\/2025\/09\/BluePancreas-scaled.jpeg\",\"contentUrl\":\"https:\/\/journals.myesr.org\/insights-imaging\/wp-content\/uploads\/sites\/3\/2025\/09\/BluePancreas-scaled.jpeg\",\"width\":2560,\"height\":1877},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/journals.myesr.org\/insights-imaging\/highlights\/elucidating-early-ct-pancreatico-duodenectomy\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/journals.myesr.org\/insights-imaging\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Elucidating early CT after pancreatico-duodenectomy\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/journals.myesr.org\/insights-imaging\/#website\",\"url\":\"https:\/\/journals.myesr.org\/insights-imaging\/\",\"name\":\"Insights into Imaging\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/journals.myesr.org\/insights-imaging\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-GB\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/journals.myesr.org\/insights-imaging\/#\/schema\/person\/9e0037141ecf4639286bd117d53c7f8f\",\"name\":\"devsk\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\/\/journals.myesr.org\/insights-imaging\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/4ee8d4f6e30c151a9fa73266563f66052dc70da05f90a1df876c0269843f9ecb?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/4ee8d4f6e30c151a9fa73266563f66052dc70da05f90a1df876c0269843f9ecb?s=96&d=mm&r=g\",\"caption\":\"devsk\"},\"sameAs\":[\"https:\/\/journals.myesr.org\"],\"url\":\"https:\/\/journals.myesr.org\/insights-imaging\/author\/devsk\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Elucidating early CT after pancreatico-duodenectomy - Insights into Imaging","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/journals.myesr.org\/insights-imaging\/highlights\/elucidating-early-ct-pancreatico-duodenectomy\/","og_locale":"en_GB","og_type":"article","og_title":"Elucidating early CT after pancreatico-duodenectomy - Insights into Imaging","og_description":"Pancreatico-duodenectomy (PD) is the standard surgical treatment for resectable malignancies of the pancreatic head, distal common bile duct, periampullary region and duodenum, and is also performed to manage selected benign tumours and refractory chronic pancreatitis. This paper provides an overview of surgical indications and techniques, discusses risk factors and clinical manifestations of the usual postsurgical [&hellip;]","og_url":"https:\/\/journals.myesr.org\/insights-imaging\/highlights\/elucidating-early-ct-pancreatico-duodenectomy\/","og_site_name":"Insights into Imaging","article_published_time":"2018-09-05T08:00:32+00:00","og_image":[{"width":2560,"height":1877,"url":"https:\/\/journals.myesr.org\/insights-imaging\/wp-content\/uploads\/sites\/3\/2025\/09\/BluePancreas-scaled.jpeg","type":"image\/jpeg"}],"author":"devsk","twitter_card":"summary_large_image","twitter_misc":{"Written by":"devsk","Estimated reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/journals.myesr.org\/insights-imaging\/highlights\/elucidating-early-ct-pancreatico-duodenectomy\/","url":"https:\/\/journals.myesr.org\/insights-imaging\/highlights\/elucidating-early-ct-pancreatico-duodenectomy\/","name":"Elucidating early CT after pancreatico-duodenectomy - Insights into Imaging","isPartOf":{"@id":"https:\/\/journals.myesr.org\/insights-imaging\/#website"},"primaryImageOfPage":{"@id":"https:\/\/journals.myesr.org\/insights-imaging\/highlights\/elucidating-early-ct-pancreatico-duodenectomy\/#primaryimage"},"image":{"@id":"https:\/\/journals.myesr.org\/insights-imaging\/highlights\/elucidating-early-ct-pancreatico-duodenectomy\/#primaryimage"},"thumbnailUrl":"https:\/\/journals.myesr.org\/insights-imaging\/wp-content\/uploads\/sites\/3\/2025\/09\/BluePancreas-scaled.jpeg","datePublished":"2018-09-05T08:00:32+00:00","author":{"@id":"https:\/\/journals.myesr.org\/insights-imaging\/#\/schema\/person\/9e0037141ecf4639286bd117d53c7f8f"},"breadcrumb":{"@id":"https:\/\/journals.myesr.org\/insights-imaging\/highlights\/elucidating-early-ct-pancreatico-duodenectomy\/#breadcrumb"},"inLanguage":"en-GB","potentialAction":[{"@type":"ReadAction","target":["https:\/\/journals.myesr.org\/insights-imaging\/highlights\/elucidating-early-ct-pancreatico-duodenectomy\/"]}]},{"@type":"ImageObject","inLanguage":"en-GB","@id":"https:\/\/journals.myesr.org\/insights-imaging\/highlights\/elucidating-early-ct-pancreatico-duodenectomy\/#primaryimage","url":"https:\/\/journals.myesr.org\/insights-imaging\/wp-content\/uploads\/sites\/3\/2025\/09\/BluePancreas-scaled.jpeg","contentUrl":"https:\/\/journals.myesr.org\/insights-imaging\/wp-content\/uploads\/sites\/3\/2025\/09\/BluePancreas-scaled.jpeg","width":2560,"height":1877},{"@type":"BreadcrumbList","@id":"https:\/\/journals.myesr.org\/insights-imaging\/highlights\/elucidating-early-ct-pancreatico-duodenectomy\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/journals.myesr.org\/insights-imaging\/"},{"@type":"ListItem","position":2,"name":"Elucidating early CT after pancreatico-duodenectomy"}]},{"@type":"WebSite","@id":"https:\/\/journals.myesr.org\/insights-imaging\/#website","url":"https:\/\/journals.myesr.org\/insights-imaging\/","name":"Insights into Imaging","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/journals.myesr.org\/insights-imaging\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-GB"},{"@type":"Person","@id":"https:\/\/journals.myesr.org\/insights-imaging\/#\/schema\/person\/9e0037141ecf4639286bd117d53c7f8f","name":"devsk","image":{"@type":"ImageObject","inLanguage":"en-GB","@id":"https:\/\/journals.myesr.org\/insights-imaging\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/4ee8d4f6e30c151a9fa73266563f66052dc70da05f90a1df876c0269843f9ecb?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/4ee8d4f6e30c151a9fa73266563f66052dc70da05f90a1df876c0269843f9ecb?s=96&d=mm&r=g","caption":"devsk"},"sameAs":["https:\/\/journals.myesr.org"],"url":"https:\/\/journals.myesr.org\/insights-imaging\/author\/devsk\/"}]}},"_links":{"self":[{"href":"https:\/\/journals.myesr.org\/insights-imaging\/wp-json\/wp\/v2\/posts\/91","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/journals.myesr.org\/insights-imaging\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/journals.myesr.org\/insights-imaging\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/journals.myesr.org\/insights-imaging\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/journals.myesr.org\/insights-imaging\/wp-json\/wp\/v2\/comments?post=91"}],"version-history":[{"count":0,"href":"https:\/\/journals.myesr.org\/insights-imaging\/wp-json\/wp\/v2\/posts\/91\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/journals.myesr.org\/insights-imaging\/wp-json\/wp\/v2\/media\/92"}],"wp:attachment":[{"href":"https:\/\/journals.myesr.org\/insights-imaging\/wp-json\/wp\/v2\/media?parent=91"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/journals.myesr.org\/insights-imaging\/wp-json\/wp\/v2\/categories?post=91"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/journals.myesr.org\/insights-imaging\/wp-json\/wp\/v2\/tags?post=91"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}