Pancreatic Fistula Clinical Trial
Official title:
The Value of Endoscopic Ultrasound Elastography for Prediction of Pancreatic Fistula in Patients Undergoing Pancreatic Resection for Benign or Malignant Disease
The purpose of this study is to assess the value of preoperative objective modalities such as endoscopic ultrasound elastography and magnet resonance imaging in predicting development of postoperative pancreatic fistula in patients undergoing pancreatic surgery for benign or malignant disease.
One of the most generally accepted causes of postoperative pancreatic fistula (POPF) is soft
texture of the pancreas. The stiffness of organs depends on histologic features such as
content of fat, fibrotic tissue and micro vascular structures. Yet, pancreatic stiffness was
evaluated only subjectively. Endoscopic ultrasonography (EUS) and magnetic resonance imaging
(MRI) may allow objective quantification of pancreatic stiffness prior to surgery.
Endoscopic ultrasound elastography (EUE) is based on real-time Doppler technology. Image
colors are derived from vibration patterns which depend on the stiffness of a specific
region of the investigated organ. The retrieved images could be converted into numeric
matrix using a specially designed program.
Magnetic resonance imaging (MRI) is a non-invasive method for quantitatively assessing the
mechanical properties of tissues based on fat tissue content.
In this trial the investigators will assess at first the value of EUE and MRI in predicting
development of postoperative pancreatic fistula and in a next step the value EUE and MRI as
an objective method in prediction of pancreatic stiffness.
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Observational Model: Cohort, Time Perspective: Prospective
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