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Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
1 topic, 2 min.
45 topics, 2 hr. 39 min.
Introduction to Pancreas Imaging
2 m.Anatomy of the Pancreas
3 m.MRI Protocol (Pancreas)
6 m.Embryology (Pancreas)
4 m.Annular Pancreas Summary
2 m.Annular Pancreas on MRI
3 m.Ectopic Pancreas
3 m.Broad Classification of Pancreatic Lesions
2 m.Adenocarcinoma: Surgical Perspective
10 m.Resectable Pancreatic Head Tumor
7 m.Nonresectable Pancreatic Tumor with Perineural Invasion
8 m.Nonresectable Pancreatic Head Tumor with Liver Metastases
5 m.The Whipple Procedure (Pancreas)
1 m.Post Whipple Procedure on MRI
6 m.Differentiating Between Pancreatitis and Adenocarcinoma
4 m.Mass or Pancreatitis: Chronic Pancreatitis
5 m.Mass or Pancreatitis: Proven Chronic Pancreatitis
5 m.Groove Pancreatitis Summary
3 m.Groove Pancreatitis or Adenocarcinoma: Adenocarcinoma
4 m.Autoimmune Pancreatitis Type I Vs. Type II
4 m.Mass, Pancreatitis, or Cancer: Autoimmune Pancreatitis
7 m.IPMN Summary
8 m.Main Duct IPMN
4 m.Mixed IPMN
4 m.Malignanttransformation of main duct IPMN
3 m.Obstructive Chronic Pancreatitis
5 m.Malignant Sidebranch IPMN
3 m.Spontaneously Ruptured IPMN
3 m.Pancreatic Cystic Tumor Summary
4 m.Serous vs. Mucinous vs. SPEN Tumors
2 m.Serous Tumor, Side Branch IPMN
3 m.Sidebranch IPMN/Mucinous Tumor mimicking Serous Tumor
4 m.Classic Serous Tumor in Pancreatic Head
2 m.Mucinous Tumor (Pancreas)
3 m.Malignant Transformation of Mucinous Tumor
5 m.Classic SPN (SPEN)
3 m.NET Summary (Pancreas)
2 m.NET (Pancreas)
3 m.Cystic Necrosis of the NET vs. SPEN
4 m.Non-functional Malignant NET
5 m.Metastasis (Pancreas)
1 m.Pancreatic Metastasis
4 m.Metastasis to Pancreatic tail, RCC
6 m.Schwannoma (Pancreas)
3 m.Intrapancreatic Splenule
4 m.0:00
Okay, so before we proceed further, uh,
0:03
we need to know how, how the whipple procedure
0:06
looks on MR and what exactly the procedure is.
0:08
So whipple procedure is the most common
0:10
procedure done for the pancreatic head
0:12
masses and that involves three anastomosis.
0:15
Basically, one anastomosis involves the
0:17
pancreatic, residual pancreas with the
0:19
jejunum, that is pancreatic or jejunostomy.
0:21
The second is jejunum with the hepatic
0:23
duct, that is called as hepaticojejunostomy.
0:26
And the third one is gastrojejunostomy
0:28
where we anastomose, the distal portion
0:31
of jejunum, uh, with the stomach lumen.
0:34
It can happen that some of the people
0:35
try to save the pylorus in some of the
0:38
patients, and for the pyloric saving
0:40
surgeries, that will be jejunojejunostomy.
0:44
So we should be aware of, there are three
0:45
anastomosis we are going to look for in the
0:47
whipple procedure, and because the recurrences
0:49
can occur any of these locations, specifically
0:52
pancreaticojejunostomy or hepaticojejunostomy.
0:54
These are the sites where
0:55
most of the recurrences occur.
Interactive Transcript
0:00
Okay, so before we proceed further, uh,
0:03
we need to know how, how the whipple procedure
0:06
looks on MR and what exactly the procedure is.
0:08
So whipple procedure is the most common
0:10
procedure done for the pancreatic head
0:12
masses and that involves three anastomosis.
0:15
Basically, one anastomosis involves the
0:17
pancreatic, residual pancreas with the
0:19
jejunum, that is pancreatic or jejunostomy.
0:21
The second is jejunum with the hepatic
0:23
duct, that is called as hepaticojejunostomy.
0:26
And the third one is gastrojejunostomy
0:28
where we anastomose, the distal portion
0:31
of jejunum, uh, with the stomach lumen.
0:34
It can happen that some of the people
0:35
try to save the pylorus in some of the
0:38
patients, and for the pyloric saving
0:40
surgeries, that will be jejunojejunostomy.
0:44
So we should be aware of, there are three
0:45
anastomosis we are going to look for in the
0:47
whipple procedure, and because the recurrences
0:49
can occur any of these locations, specifically
0:52
pancreaticojejunostomy or hepaticojejunostomy.
0:54
These are the sites where
0:55
most of the recurrences occur.
Report
Faculty
Neeraj Lalwani, MD, FSAR, DABR
Professor and Chief of Abdominal Radiology
Montefiore Medical Center, New York
Tags
Pancreas
Neoplastic
MRI
Iatrogenic
Body
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