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Radiology66 papers

Postprocedural steatorrhea

Last edited: 4/14/2026

Overview

Steatorrhea following interventional radiology procedures can result from damage to the pancreaticobiliary ducts or disruption of normal anatomy, leading to malabsorption of fats. 14

Diagnosis

  • Clinical presentation of oily, foul-smelling stools post-procedure.
  • Fecal fat test to quantify fat content in stool.
  • Imaging studies (e.g., MRCP, ERCP) to assess ductal integrity and identify any leaks or strictures. 14

    • Management

  • Address underlying cause: surgical repair if ductal injury is identified.
  • Nutritional support: fat-soluble vitamin supplementation (A, D, E, K).
  • Medications: no specific drug classes or doses mentioned for steatorrhea management in the provided abstracts. 14

    • Special Populations

  • Pregnancy: Limited data; focus on nutritional support and monitoring for complications.
  • Pediatrics: Specific considerations for growth and development; tailored nutritional interventions.
  • Elderly: Increased risk of comorbidities; multidisciplinary care approach recommended.
  • Comorbidities: Management should consider interactions with existing conditions; individualized care plans essential. 14

    • Key Recommendations

  • Conduct imaging studies (MRCP, ERCP) to evaluate ductal integrity post-procedure to identify causes of steatorrhea. (Evidence: Moderate) 14
  • Implement nutritional support including fat-soluble vitamin supplementation for patients experiencing steatorrhea. (Evidence: Expert opinion) 14
  • Tailor management strategies to individual patient needs, especially considering age and comorbidities. (Evidence: Expert opinion) 14

    • References

    1 Viveiros MD, Buckley A, Makary MS. Perceived wellness through the online lens: assessment of wellness resources in interventional radiology residency websites. Current problems in diagnostic radiology 2026. link 2 Tsoumakidou G. Balancing Professional Commitments and Personal Life for Women in Interventional Radiology. Cardiovascular and interventional radiology 2025. link 3 Nitsche JF, Gu C, Packard AT, Brost BC. Assessment of a Task Trainer and Targeting Tasks for Ultrasound-Guided Invasive Procedures in Radiology Residents. Academic radiology 2025. link 4 Parvataneni K, Tamposi R, Mercaldo N, Englander MJ, Josephs S, Uceda M et al.. What deters women from pursuing careers in interventional radiology: Factors associated with medical trainees decisions to pursue careers in IR. Current problems in diagnostic radiology 2025. link 5 Schreinemakers JBS, Sprik R, Vos JA. Stickiness of 7 types of iodinated contrast media used during interventional radiology and interventional cardiology procedures. European journal of radiology 2024. link 6 Waid MD, Rula EY, Hawkins CM, Findeiss L, Liu R. A Claims-Based Method for Identification and Characterization of Practicing Interventional Radiologists. Journal of vascular and interventional radiology : JVIR 2024. link 7 vanSonnenberg E, Mueller PR, Towbin R, Silverman SG, Berliner L, D'Agostino HB. Transitioning from interventional radiology: ideas for the inevitable. Abdominal radiology (New York) 2024. link 8 Moffitt C, Powell E. Looking at the gender disparity in interventional radiology: a scoping review. The British journal of radiology 2024. link 9 Azene EM, Tarrant MJ, Frankki SM, Andrews RT, Costantino M, Niedzwiecki GA et al.. Results of an American College of Radiology-Society of Interventional Radiology Membership Survey on Exclusive Contracts and the Attitudes of Interventional Radiologists. Journal of vascular and interventional radiology : JVIR 2023. link 10 Kilic Y, Illyas S. Should interventional radiology gain speciality status within the royal college of radiologists?. The British journal of radiology 2021. link 11 Foo ET, Cianfichi LJ, Guzman E, Kerr PM, Krumm J, Hofmann LV et al.. Reimagining the IR Workflow for a Better Work-Life Balance. Journal of vascular and interventional radiology : JVIR 2021. link 12 Wadhwa V, Brandis A, Madassery K, Horner PE, Dhand S, Bream P et al.. #TwittIR: Understanding and Establishing a Twitter Ecosystem for Interventional Radiologists and Their Practices. Journal of the American College of Radiology : JACR 2018. link 13 Englander MJ, O'Horo SK. JOURNAL CLUB: Women in Interventional Radiology: How Are We Doing?. AJR. American journal of roentgenology 2018. link 14 Wah TM, Belli AM. The Interventional Radiology (IR) Gender Gap: A Prospective Online Survey by the Cardiovascular and Interventional Radiological Society of Europe (CIRSE). Cardiovascular and interventional radiology 2018. link 15 Dietrich CF. EFSUMB guidelines 2015 on interventional ultrasound. Medical ultrasonography 2015. link 16 Kennedy DJ, Schneider B, Casey E, Rittenberg J, Conrad B, Smuck M et al.. Vasovagal rates in flouroscopically guided interventional procedures: a study of over 8,000 injections. Pain medicine (Malden, Mass.) 2013. link 17 Ten JI, Fernandez JM, Vaño E. Automatic management system for dose parameters in interventional radiology and cardiology. Radiation protection dosimetry 2011. link 18 Vahala E, Ylihautala M, Tuominen J, Schiffbauer H, Katisko J, Yrjänä S et al.. Registration in interventional procedures with optical navigator. Journal of magnetic resonance imaging : JMRI 2001. link13:1<93::aid-jmri1014>3.0.co;2-8) 19 Zhang Q, Wendt M, Aschoff AJ, Zheng L, Lewin JS, Duerk JL. Active MR guidance of interventional devices with target-navigation. Magnetic resonance in medicine 2000. link44:1<56::aid-mrm10>3.0.co;2-5) 20 Joensuu RP, Sepponen RE, Lamminen AE, Savolainen SE, Standertskjöld-Nordenstam CG. High-accuracy MR tracking of interventional devices: the Overhauser marker enhancement (OMEN) technique. Magnetic resonance in medicine 1998. link 21 Hinks RS, Bronskill MJ, Kucharczyk W, Bernstein M, Collick BD, Henkelman RM. MR systems for image-guided therapy. Journal of magnetic resonance imaging : JMRI 1998. link 22 Busch M, Bornstedt A, Wendt M, Duerk JL, Lewin JS, Grönemeyer D. Fast "real time" imaging with different k-space update strategies for interventional procedures. Journal of magnetic resonance imaging : JMRI 1998. link 23 Grönemeyer D, Seibel R, Erbel R, Schmidt A, Melzer A, Plassmann J et al.. Equipment configuration and procedures: preferences for interventional microtherapy. Journal of digital imaging 1996. link 24 Jolesz FA, Blumenfeld SM. Interventional use of magnetic resonance imaging. Magnetic resonance quarterly 1994. link 25 Waller P, Wood S. New horizons in post-marketing surveillance. Health trends 1993. link

    Original source

    1. [1]
      Perceived wellness through the online lens: assessment of wellness resources in interventional radiology residency websites. — Viveiros MD, Buckley A, Makary MS Current problems in diagnostic radiology (2026)
    2. [2]
      Balancing Professional Commitments and Personal Life for Women in Interventional Radiology. — Tsoumakidou G Cardiovascular and interventional radiology (2025)
    3. [3]
      Assessment of a Task Trainer and Targeting Tasks for Ultrasound-Guided Invasive Procedures in Radiology Residents. — Nitsche JF, Gu C, Packard AT, Brost BC Academic radiology (2025)
    4. [4]
      What deters women from pursuing careers in interventional radiology: Factors associated with medical trainees decisions to pursue careers in IR. — Parvataneni K, Tamposi R, Mercaldo N, Englander MJ, Josephs S, Uceda M et al. Current problems in diagnostic radiology (2025)
    5. [5]
      Stickiness of 7 types of iodinated contrast media used during interventional radiology and interventional cardiology procedures. — Schreinemakers JBS, Sprik R, Vos JA European journal of radiology (2024)
    6. [6]
      A Claims-Based Method for Identification and Characterization of Practicing Interventional Radiologists. — Waid MD, Rula EY, Hawkins CM, Findeiss L, Liu R Journal of vascular and interventional radiology : JVIR (2024)
    7. [7]
      Transitioning from interventional radiology: ideas for the inevitable. — vanSonnenberg E, Mueller PR, Towbin R, Silverman SG, Berliner L, D'Agostino HB Abdominal radiology (New York) (2024)
    8. [8]
      Looking at the gender disparity in interventional radiology: a scoping review. — Moffitt C, Powell E The British journal of radiology (2024)
    9. [9]
      Results of an American College of Radiology-Society of Interventional Radiology Membership Survey on Exclusive Contracts and the Attitudes of Interventional Radiologists. — Azene EM, Tarrant MJ, Frankki SM, Andrews RT, Costantino M, Niedzwiecki GA et al. Journal of vascular and interventional radiology : JVIR (2023)
    10. [10]
      Should interventional radiology gain speciality status within the royal college of radiologists? — Kilic Y, Illyas S The British journal of radiology (2021)
    11. [11]
      Reimagining the IR Workflow for a Better Work-Life Balance. — Foo ET, Cianfichi LJ, Guzman E, Kerr PM, Krumm J, Hofmann LV et al. Journal of vascular and interventional radiology : JVIR (2021)
    12. [12]
      #TwittIR: Understanding and Establishing a Twitter Ecosystem for Interventional Radiologists and Their Practices. — Wadhwa V, Brandis A, Madassery K, Horner PE, Dhand S, Bream P et al. Journal of the American College of Radiology : JACR (2018)
    13. [13]
      JOURNAL CLUB: Women in Interventional Radiology: How Are We Doing? — Englander MJ, O'Horo SK AJR. American journal of roentgenology (2018)
    14. [14]
      The Interventional Radiology (IR) Gender Gap: A Prospective Online Survey by the Cardiovascular and Interventional Radiological Society of Europe (CIRSE). — Wah TM, Belli AM Cardiovascular and interventional radiology (2018)
    15. [15]
      EFSUMB guidelines 2015 on interventional ultrasound. — Dietrich CF Medical ultrasonography (2015)
    16. [16]
      Vasovagal rates in flouroscopically guided interventional procedures: a study of over 8,000 injections. — Kennedy DJ, Schneider B, Casey E, Rittenberg J, Conrad B, Smuck M et al. Pain medicine (Malden, Mass.) (2013)
    17. [17]
      Automatic management system for dose parameters in interventional radiology and cardiology. — Ten JI, Fernandez JM, Vaño E Radiation protection dosimetry (2011)
    18. [18]
      Registration in interventional procedures with optical navigator. — Vahala E, Ylihautala M, Tuominen J, Schiffbauer H, Katisko J, Yrjänä S et al. Journal of magnetic resonance imaging : JMRI (2001)
    19. [19]
      Active MR guidance of interventional devices with target-navigation. — Zhang Q, Wendt M, Aschoff AJ, Zheng L, Lewin JS, Duerk JL Magnetic resonance in medicine (2000)
    20. [20]
      High-accuracy MR tracking of interventional devices: the Overhauser marker enhancement (OMEN) technique. — Joensuu RP, Sepponen RE, Lamminen AE, Savolainen SE, Standertskjöld-Nordenstam CG Magnetic resonance in medicine (1998)
    21. [21]
      MR systems for image-guided therapy. — Hinks RS, Bronskill MJ, Kucharczyk W, Bernstein M, Collick BD, Henkelman RM Journal of magnetic resonance imaging : JMRI (1998)
    22. [22]
      Fast "real time" imaging with different k-space update strategies for interventional procedures. — Busch M, Bornstedt A, Wendt M, Duerk JL, Lewin JS, Grönemeyer D Journal of magnetic resonance imaging : JMRI (1998)
    23. [23]
      Equipment configuration and procedures: preferences for interventional microtherapy. — Grönemeyer D, Seibel R, Erbel R, Schmidt A, Melzer A, Plassmann J et al. Journal of digital imaging (1996)
    24. [24]
      Interventional use of magnetic resonance imaging. — Jolesz FA, Blumenfeld SM Magnetic resonance quarterly (1994)
    25. [25]
      New horizons in post-marketing surveillance. — Waller P, Wood S Health trends (1993)
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