Do we need a computed tomography examination in all patients with acute pancreatitis within 72 h after admission to hospital for the detection of pancreatic necrosis?

Scandinavian Journal of Gastroenterology
P G LankischA B Lowenfels

Abstract

The aim of this prospective study was to define the role of an initial contrast-enhanced computed tomography (CT) obtained within 72 h after admission to hospital for determining the prognosis of acute pancreatitis and to investigate whether CT scans can be replaced by conventional prognostic parameters. The study involves 231 patients admitted to the Lüneburg clinic with a first attack of acute pancreatitis from 1988 to 1995. In all of them, a contrast-enhanced CT was performed within 72 h of admission and scored according to Balthazar. The results were compared with the Ranson and Imrie laboratory prognostic scores and with parameters of the severity of the disease: the initial organ failure according to the Atlanta classification; days spent on intensive care unit or altogether in hospital; indication for artificial ventilation, dialysis and surgical intervention (necrosectomy); development of pancreatic pseudocysts; and mortality. Although there was a good statistical correlation between Ranson, Imrie, and Balthazar scores with the severity of the disease (P < 0.001 to P = 0.03), low and moderately raised Ranson (0-2, 0-5 points) and Imrie scores (0-1.0-3 points) failed to identify all patients with pancreatic necrosis with...Continue Reading

References

Feb 1, 1990·Radiology·E J BalthazarJ H Ranson
Jan 1, 1989·Annals of Surgery·J M Howard, S M Wagner
Feb 1, 1987·Radiology·F S VernacchiaS D Wall
Mar 1, 1985·The British Journal of Surgery·I NordbackV Autio
Sep 1, 1985·Radiology·E J BalthazarM M Cooper
May 1, 1982·RöFo : Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin·E GrabbeM Heller
Sep 9, 1995·Lancet·V SainioE Kivilaakso
Sep 1, 1997·Gastroenterology·S TennerP A Banks
Dec 10, 1997·Clinical Radiology·J T De SanctisP R Mueller
Sep 30, 1999·Gastroenterology Clinics of North America·M RatschkoP G Lankisch

❮ Previous
Next ❯

Citations

Sep 7, 2011·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Vikesh K SinghPeter A Banks
May 21, 2010·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·B W M SpanierM J Bruno
Aug 7, 2009·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·G GravanteA R Dennison
Mar 13, 2016·Der Radiologe·A G SchreyerM Juchems
Sep 27, 2005·Journal of the American College of Surgeons·Patrick W VriensPaul J Breslau
Oct 12, 2017·Scandinavian Journal of Gastroenterology·Ayesha KamalVikesh K Singh
Dec 22, 2011·The American Journal of Gastroenterology·Thomas L BollenKoenraad J Mortele
Jul 26, 2011·AJR. American Journal of Roentgenology·Thomas L BollenKoenraad J Mortele
Sep 12, 2003·Der Internist·S WagnerP G Lankisch
Oct 13, 2006·The American Journal of Gastroenterology·Peter A BanksUNKNOWN Practice Parameters Committee of the American College of Gastroenterology
Jul 27, 2001·The American Journal of Gastroenterology·P G LankischA B Lowenfels
May 14, 2009·Abdominal Imaging·Louke J DelruePhilippe O Duyck
Dec 10, 2009·The American Journal of Gastroenterology·Paul Georg LankischAlbert B Lowenfels
Jan 19, 2005·Der Internist·G Adler, H Woehrle
Feb 9, 2021·Annals of Internal Medicine·Timothy B Gardner
Jan 22, 2008·Best Practice & Research. Clinical Gastroenterology·Kerstin Schütte, Peter Malfertheiner

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]
P G LankischA B Lowenfels
Nihon rinsho. Japanese journal of clinical medicine
T TakadaJ Shikata
The British Journal of Radiology
Y X WangS K Morcos
Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES
Mohd Altaf MirHamza Wani
© 2021 Meta ULC. All rights reserved