Clinical Radiology
Volume 63, Issue 8 , Pages 921-928, August 2008

Computed tomography after radical pancreaticoduodenectomy (Whipple's procedure)

  • S.L. Smith

      Affiliations

    • Department of Radiology, Ipswich Hospital, Ipswich IP4 5PD, UK
    • Corresponding Author InformationGuarantor and correspondent: S.L. Smith, Department of Radiology, Ipswich Hospital, Ipswich, IP4 5PD, UK. Tel.: +44 1473 703380; fax: +44 1473 270655.
    • ,
  • F. Hampson

      Affiliations

    • Department of Radiology, Addenbrooke's Hospital NHS Trust, Cambridge, UK
    • ,
  • M. Duxbury

      Affiliations

    • Department of Surgery, Royal Infirmary of Edinburgh, Little France, Edinburgh EH16 4SU, UK
    • ,
  • D.M. Rae

      Affiliations

    • Department of Pancreaticobiliary surgery, Ipswich Hospital, Ipswich IP4 5PD, UK
    • ,
  • M.T. Sinclair

      Affiliations

    • Department of Pancreaticobiliary surgery, Ipswich Hospital, Ipswich IP4 5PD, UK

Received 31 July 2007; received in revised form 24 September 2007; accepted 8 October 2007.

Whipple's procedure (radical pancreaticoduodenectomy) is currently the only curative option for patients with periampullary malignancy. The surgery is highly complex and involves multiple anastomoses. Complications are common and can lead to significant postoperative morbidity. Early detection and treatment of complications is vital, and high-quality multidetector computed tomography (MDCT) is currently the best method of investigation. This review outlines the surgical technique and illustrates the range of normal postoperative appearances together with the common complications.

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PII: S0009-9260(07)00467-9

doi:10.1016/j.crad.2007.10.012

Clinical Radiology
Volume 63, Issue 8 , Pages 921-928, August 2008

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