Lepanto L, Gianfelice D, Déry R, Dagenais M, Lapointe R, Roy A
Department of Radiology, Hôpital Saint-Luc, Montreal, Quebec, Canada.
AJR Am J Roentgenol. 1994 Oct;163(4):841-6. doi: 10.2214/ajr.163.4.7916530.
Whipple's operation consists of resection of the pancreatic head and duodenum, followed by pancreaticojejunostomy, choledochojejunostomy, and gastrojejunostomy or duodenojejunostomy. Indications include neoplasms of the periampullary region, symptomatic chronic pancreatitis, and, occasionally, trauma CT is useful in diagnosing postoperative complications and in detecting disease recurrence during long-term follow-up. This complex surgical procedure causes alterations of the normal anatomy, which may lead to difficulty interpreting images. Familiarity with the appearance of postoperative changes and common complications and with patterns of disease recurrence is a prerequisite to accurate interpretation of CT scans in these patients.
惠普尔手术包括切除胰头和十二指肠，随后进行胰空肠吻合术、胆总管空肠吻合术以及胃空肠吻合术或十二指肠空肠吻合术。适应证包括壶腹周围区域肿瘤、症状性慢性胰腺炎，偶尔也适用于外伤。CT在诊断术后并发症以及长期随访期间检测疾病复发方面很有用。这种复杂的外科手术会改变正常解剖结构，这可能导致图像解读困难。熟悉术后改变的表现、常见并发症以及疾病复发模式是准确解读这些患者CT扫描结果的先决条件。
