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Acute Pancreatitis Part II: Approach to Follow-up
Bechien U. Wu, Darwin L. Conwell Clinical Gastroenterology and Hepatology Volume 8, Issue 5, Pages (May 2010) DOI: /j.cgh Copyright © 2010 AGA Institute Terms and Conditions
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Figure 1 Suggested management algorithm for the follow-up evaluation of acute pancreatitis. ERCP, endoscopic retrograde cholangiopancreatography; MRI, magnetic resonance imaging. Clinical Gastroenterology and Hepatology 2010 8, DOI: ( /j.cgh ) Copyright © 2010 AGA Institute Terms and Conditions
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Figure 2 Types of acute fluid collections in acute pancreatitis. A pseudocyst (panel A, solid arrow) is a homogenous collection of amylase-rich fluid. An acute fluid collection in the setting of necrosis often contains necrotic debris (panel B, broken arrow indicates necrotic debris visible on contrast-enhanced computerized tomography scan). Clinical Gastroenterology and Hepatology 2010 8, DOI: ( /j.cgh ) Copyright © 2010 AGA Institute Terms and Conditions
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Figure 3 Endoscopic transluminal necrosectomy of a symptomatic postnecrotic fluid collection (see Supplementary Video). Courtesy of David Carr-Locke, MD, BWH Therapeutic Endoscopy. Clinical Gastroenterology and Hepatology 2010 8, DOI: ( /j.cgh ) Copyright © 2010 AGA Institute Terms and Conditions
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Figure 4 Pleural effusion in a patient 2 weeks following episode of acute pancreatitis. Clinical Gastroenterology and Hepatology 2010 8, DOI: ( /j.cgh ) Copyright © 2010 AGA Institute Terms and Conditions
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Figure 5 Endoscopic retrograde cholangiopancreatography (ERCP) images demonstrating ductal disruption at the junction of the head and neck of pancreas (arrow). Successful “bridging” stent placement across site of disruption without further evidence of contrast extravasation is depicted. Courtesy of Linda S. Lee, MD, BWH Therapeutic Endoscopy. Clinical Gastroenterology and Hepatology 2010 8, DOI: ( /j.cgh ) Copyright © 2010 AGA Institute Terms and Conditions
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