抄録
Acute pancreatitis is classified into interstitial edematous pancreatitis and necrotizing pancreatitis based on the presence or absence of necrosis. The mortality rate of infected pancreatic necrosis is high, and interventional treatment is recommended. In recent years, endoscopic and interventional radiological approaches have shown good treatment outcomes. The step-up approach, which starts with minimally invasive drainage and progresses to necrosectomy if necessary, has become the standard recommendation. Endovascular treatment is widely used as the first-choice treatment for pseudoaneurysms and hemorrhage after chronic or acute pancreatitis.
In follow-up after acute or chronic pancreatitis, diagnostic imaging plays a crucial role in identifying local complications. When local complications occur, timely intervention is important, and the interventional radiologist should be familiar with the indications and approaches. This article provides an overview of the key points of imaging diagnosis and appropriate timing and methods for interventional treatment, focusing on local complications after acute and chronic pancreatitis.