日本インターベンショナルラジオロジー学会雑誌
Online ISSN : 2185-6451
Print ISSN : 1340-4520
ISSN-L : 1340-4520
膵癌術後,膵炎後の合併症とIVR
急性膵炎・慢性膵炎後合併症の画像診断とIVRの治療適応
田辺 昌寛飯田 悦史伊原 研一郎上田 高顕成清 紘司井上 敦夫小林 大河伊東 克能
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2026 年 40 巻 2 号 p. 100-106

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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.
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