Law Wyanne, Swensson Jordan, Mayhew Mackenzie, Zaydfudim Victor, Khot Rachita
Memorial Sloan Kettering Cancer Center, New York, USA.
Indiana University, Bloomington, USA.
Abdom Radiol (NY). 2025 Jan 6. doi: 10.1007/s00261-024-04705-x.
Biliary-enteric anastomosis is a common surgical procedure for benign and malignant pathologies involving bile ducts, pancreas and duodenum, as well as during liver transplantation. Imaging is key in detecting potential complications. Ultrasound, computed tomography (CT), magnetic resonance imaging (MRI), and nuclear scintigraphy provide complementary information. Ultrasound offers real-time assessment of bile duct dilation and fluid collection. CT scan, due to its wide availability, is often performed first and provides detailed cross-sectional anatomy. MRI, including MR cholangiography, excels in visualizing bile ducts and detecting subtle changes in anastomosis integrity. Common complications of BEA include bile leak, biliary anastomotic stricture, and cholangitis, each presenting with distinct imaging features. Effective imaging allows for early detection and management of these complications, improving patient outcomes. This review discusses the role of imaging in assessing post-BEA complications and emphasizes the importance of multimodal imaging approaches in the comprehensive evaluation of BEA and its complications.
胆肠吻合术是一种常见的外科手术，用于治疗涉及胆管、胰腺和十二指肠的良性及恶性病变，以及肝移植手术中。影像学检查对于发现潜在并发症至关重要。超声、计算机断层扫描（CT）、磁共振成像（MRI）和核素闪烁扫描提供互补信息。超声可实时评估胆管扩张和液体积聚情况。CT扫描由于其广泛可用性，通常首先进行，可提供详细的横断面解剖结构。MRI，包括磁共振胆胰管造影，在显示胆管和检测吻合口完整性的细微变化方面表现出色。胆肠吻合术的常见并发症包括胆漏、胆肠吻合口狭窄和胆管炎，每种并发症都有独特的影像学特征。有效的影像学检查能够早期发现并处理这些并发症，改善患者预后。本综述讨论了影像学在评估胆肠吻合术后并发症中的作用，并强调了多模态影像学方法在全面评估胆肠吻合术及其并发症中的重要性。
