Journal ArticleDOI
Acute pancreatitis: value of CT in establishing prognosis.
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TLDR
A CT severity index, based on a combination of peripancreatic inflammation, phlegmon, and degree of pancreatic necrosis as seen at initial CT study, was developed and showed clear trends in patients who initially had or developed more than 30% necrosis.Abstract:
The presence and degree of pancreatic necrosis (30%, 50%, or greater than 50%) was evaluated by means of bolus injection of contrast material and dynamic sequential computed tomography (CT) in 88 patients with acute pancreatitis at initial and follow-up examinations. Pancreatic necrosis was defined as lack of enhancement of all or a portion of the gland. Length of hospitalization, morbidity, and mortality in patients with early or late necrosis (22 patients) were evaluated and compared with the same criteria in the rest of the group. Patients with necrosis had a 23% mortality and an 82% complication rate; patients without necrosis had 0% mortality and 6% morbidity. When only the initial assessment was considered, patients with peripancreatic phlegmons and necrosis had 80% morbidity, compared with 36% morbidity in those with phlegmons and no necrosis. Serious complications occurred in patients who initially had or developed more than 30% necrosis. A CT severity index, based on a combination of peripancreatic inflammation, phlegmon, and degree of pancreatic necrosis as seen at initial CT study, was developed. Patients with a high CT severity index had 92% morbidity and 17% mortality; patients with a low CT severity index had 2% morbidity, and none died.read more
Citations
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Journal ArticleDOI
Comparison of clinical findings between histologically confirmed type 1 and type 2 autoimmune pancreatitis.
Tae Jun Song,Ji-Hoon Kim,Myung-Hwan Kim,Ji Woong Jang,Do Hyun Park,Sang Soo Lee,Dong Wan Seo,Sung Koo Lee,Eunsil Yu +8 more
TL;DR: The aim of this study was to compare the prevalence, clinical profiles, detailed radiological findings, and steroid responsiveness between type 1 and type 2 AIP in Korea.
Book ChapterDOI
Alcohol and the Pancreas
S Schenker,R Montalvo +1 more
TL;DR: The topic of this chapter is "acute" pancreatitis, which likely represents an acute process within a chronic pancreatic exposure and injury from alcoholic abuse, and the key question of why pancreatitis develops in only a small number of alcohol abusers is not resolved.
Journal ArticleDOI
Endoscopic transpapillary stenting or conservative treatment for pancreatic fistulas in necrotizing pancreatitis: multicenter series and literature review.
Olaf J. Bakker,Mark C. van Baal,Hjalmar C. van Santvoort,Marc G. Besselink,Jan Werner Poley,Joos Heisterkamp,Thomas L. Bollen,Hein G. Gooszen,Casper H.J. van Eijck +8 more
TL;DR: Endoscopic transpapillary stenting of the pancreatic duct facilitates ductal outflow and may reduce time to pancreatic fistula closure and seems a feasible and safe alternative to conservative treatment in patients with Pancreatic fistulas after intervention for necrotizing pancreatitis.
Journal ArticleDOI
Pancreatic imaging: current and emerging technologies.
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Journal Article
Correlates of organ failure in severe acute pancreatitis.
Jai Dev Wig,Kishore Gurumoorthy Subramanya Bharathy,Rakesh Kochhar,Thakur Deen Yadav,Ashwini Kumar Kudari,Rudra Prasad Doley,Vikas Gupta,Yellakanti Raghavendra Babu +7 more
TL;DR: The advanced age of the patients, a higher APACHE II score and the extent of necrosis, but not infected necrosis emerged as significant correlates of organ failure.
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