title: Dynamic contrast-enhanced magnetic resonance imaging to predict pancreatic fistula after distal pancreatectomy.
abstract: OBJECTIVE
  This study hopes to identify risk factors for postoperative pancreatic fistulae in patients undergoing distal pancreatectomy.
  
  
  METHODS
  The study group was composed of 39 patients who had undergone distal pancreatectomy between January 2000 and June 2008. Fourteen presumed risk factors were retrospectively reviewed.
  
  
  RESULTS
  Pancreatic fistula developed in 10 patients (25.6%). Pancreatic fibrosis estimated by dynamic contrast-enhanced magnetic resonance imaging (MRI) was the only predictor of pancreatic fistula formation after distal pancreatectomy (p = 0.037).
  
  
  CONCLUSIONS
  The preoperative evaluation of pancreatic fibrosis by dynamic MRI can provide reliable and objective information for predicting the risk of postoperative pancreatic fistula after distal pancreatectomy.
authors: Department of Surgery, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan. tkuroki-gi@umin.ac.jp
authors: Tamotsu
authors: T
authors: Kurohi
authors: Yoshitsugu
authors: Y
authors: Tajima
authors: Noritsugu
authors: N
authors: Tsuneoka
authors: Tomohiko
authors: T
authors: Adachi
authors: Takashi
authors: T
authors: Kanematsu
mesh_terms: D003287:Contrast Media; D005260:Female; D019786:Gadolinium DTPA; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy; D010185:Pancreatic Fistula / Q000175:diagnosis*; D011183:Postoperative Complications / Q000175:diagnosis*; D011237:Predictive Value of Tests; D012189:Retrospective Studies; D012307:Risk Factors; D018709:Statistics, Nonparametric
chemical_list: D003287:Contrast Media; D019786:Gadolinium DTPA