Comprehensive CT Evaluation of Acute Pancreatitis_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

SONG Bin ¹ , XU Juan ²

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Keywords：

Acute pancreatitis; Computed tomography/Xray

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Objective To investigate the CT manifestations of acute pancreatitis (AP) and its complications and to evaluate the imaging modalities for staging the severity of AP. Methods Literatures on CT manifestations of AP and its complications and severity staging of AP were reviewed.
Results CT has shown an early overall detection rate of 90% for pancreatic necrosis with close to 100% sensitivity 4 days after episode. The CT severity index has shown a bly positive correlation with the development of local complications and mortality of AP.
Conclusion Contrastenhanced CT is the imaging modality of choice to help detect pancreatic necrosis, stage the severity of the inflammatory processes, and depict local complications.

Citation： SONG Bin,XU Juan. Comprehensive CT Evaluation of Acute Pancreatitis. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2003, 10(6): 623-626. doi: Copy

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12.	Larvin M, McMahon MJ. APACHE Ⅱ score for assessment and monitoring of acute pancreatitis [J]. Lancet, 1989; 2(8656)∶201.
13.	Denham W, Norman J. The potential role of therapeutic cytokine manipulation in acute pancreatitis [J]. Surg Clin North Am, 1999; 79(4)∶767.
14.	Balthazar EJ, Robinson DL, Megibow AJ, et al. Acute pancreatitis: value of CT in establishing prognosis [J]. Radiology, 1990; 174(2)∶331.
15.	London NM, Neoptolemos JP, Lavelle J, et al. Contrastenhanced abdominal computed tomography scanning and prediction of severity of acute pancreatitis: a prospective study [J]. Br J Surg, 1989; 76(3)∶268.
16.	van den Biezenbos AR, Kruyt PM, Bosscha K, et al. Added value of CT criteria compared to the clinical SAP score in patients with acute pancreatitis [J]. Abdom Imaging, 1998; 23(6)∶622.

1. Balthazar EJ. Acute pancreatitis: assessment of severity with clinical and CT evaluation [J]. Radiology, 2002; 223(3)∶603.
2. 陈九如，赵殿辉，徐津磊. 胆源性胰腺炎的新认识 [J]. 中国医学计算机成像杂志, 2002； 8（4）∶228.
3. 宋彬，杨恒选，闵鹏秋. 胰腺疾病的CT诊断. 见：李松年主编. 现代全身CT诊断学 [M]. 北京: 中国医药科技出版社, 2001∶669～715.
4. Sakorafas GH, Tsiotos GG, Bower TC, et al. Ischemic necrotizing pancreatitis.Two case reports and review of the literature [J]. Int J Pancreatol, 1998; 24(2)∶117.
5. Johnson CD, Stephens DH, Sarr MG. CT of acute pancreatitis: correlation between lack of contrast enhancement and pancreatic necrosis [J]. AJR Am J Roentgenol, 1991; 156(1)∶93.
6. Beger HG, Rau B, Mayer J, et al. Natural course of acute pancreatitis [J]. World J Surg, 1997; 21(2)∶130.
7. Balthazar EJ, Ranson JH, Naidich DP, et al. Acute pancreatitis: prognostic value of CT [J]. Radiology, 1985; 156(3)∶767.
8. Dervenis C, Johnson CD, Bassi C, et al. Diagnosis, objective assessment of severity, and management of acute pancreatitis [J]. Int J Pancreatol, 1999; 25(3)∶195.
9. Banks PA. Acute pancreatitis: medical and surgical management [J]. Am J Gastroenterol, 1994; 89(8)∶S78.
10. Balthazar EJ, Freeny PC, vanSonnenberg E. Imaging and intervention in acute pancreatitis [J]. Radiology, 1994; 193(2)∶297.
11. Ranson JH, Rifkind KM, Roses DF, et al. Objective early identification of severe acute pancreatitis [J]. Am J Gastroenterol, 1974; 61(6)∶443.
12. Larvin M, McMahon MJ. APACHE Ⅱ score for assessment and monitoring of acute pancreatitis [J]. Lancet, 1989; 2(8656)∶201.
13. Denham W, Norman J. The potential role of therapeutic cytokine manipulation in acute pancreatitis [J]. Surg Clin North Am, 1999; 79(4)∶767.
14. Balthazar EJ, Robinson DL, Megibow AJ, et al. Acute pancreatitis: value of CT in establishing prognosis [J]. Radiology, 1990; 174(2)∶331.
15. London NM, Neoptolemos JP, Lavelle J, et al. Contrastenhanced abdominal computed tomography scanning and prediction of severity of acute pancreatitis: a prospective study [J]. Br J Surg, 1989; 76(3)∶268.
16. van den Biezenbos AR, Kruyt PM, Bosscha K, et al. Added value of CT criteria compared to the clinical SAP score in patients with acute pancreatitis [J]. Abdom Imaging, 1998; 23(6)∶622.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Comprehensive CT Evaluation of Acute Pancreatitis

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