A Modified Ct Severity Index for Evaluating Acute Pancreatitis: Improved Correlation With Patient Outcome.

Mortelé, Koenraad J.; Zou, Kexin; Banks, Peter A.; Silverman, Stuart G.

doi:10.1097/00006676-200411000-00140

Cited by 113 publications

(177 citation statements)

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“…In the present study, extensive necrosis more than 30% was associated with increased severity and mortality. Mertele and Balthazar reported similar results in their series [16,17] . The restricted power in our study prohibited the detailed evaluation of these findings.…”

Section: Discussionsupporting

confidence: 70%

“…If the CT staging is required, the CT severity index, as prepared by Balthazar should be used [19] . The CT index that reflects the extent of necrosis as well as peripancreatic or extrapancreatic inflammation is valuable in predicting morbidity and mortality in this study and the literature [2,5,6,16] . One of the complications of AP, peripancreatic abscess, may develop in the absence of pancreatic necrosis.…”

Section: Discussionmentioning

confidence: 95%

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Evaluation of diagnostic findings and scoring systems in outcome prediction in acute pancreatitis

Kaya¹,

Dervişoğlu²,

Polat³

2007

WJG

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AIM:To determine factors related to disease severity, mortality and morbidity in acute pancreatitis. METHODS:One hundred and ninety-nine consecutive patients were admitted with the diagnosis of acute pancreatitis (AP) in a 5-year period (1998)(1999)(2000)(2001)(2002). In a prospective design, demographic data, etiology, mean hospital admission time, clinical, radiological, biochemical findings, treatment modalities, mortality and morbidity were recorded. Endocrine insufficiency was investigated with oral glucose tolerance test. The relations between these parameters, scoring systems (Ranson, Imrie and APACHE Ⅱ) and patients' outcome were determined by using invariable tests and the receiver operating characteristics curve.

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Section: Discussionsupporting

confidence: 70%

Section: Discussionmentioning

confidence: 95%

Evaluation of diagnostic findings and scoring systems in outcome prediction in acute pancreatitis

Kaya¹,

Dervişoğlu²,

Polat³

2007

WJG

View full text Add to dashboard Cite

show abstract

“…Complications in acute pancreatitis that can be recognized on abdominal CT scan include pancreatic fluid collections, gastrointestinal and biliary complications (such as obstruction of duodenum or stomach, inflammation of the transverse colon, and biliary obstruction), solid organ involvement (such as splenic infarct), vascular complications (such as pseudoaneurysms, splenic vein thrombosis with varices, portal vein thrombosis), and pancreatic ascites (33,35,90).…”

Section: Level Of Evidence: IIImentioning

confidence: 99%

Practice Guidelines in Acute Pancreatitis

Banks

Freeman

2006

Am J Gastroenterology

1,662

980

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“…Two authors extracted data independently from each article including the following: author, year of publication, sample size, study design, etiology, predictive severity scores before [20]; Acute Physiology And Chronic Health Evaluation-II (APACHE-II) score [21], organ failure before percutaneous catheter drainage, computed tomography severity index (CTSI) scores [22][23][24], catheter size, time between hospital admission and PCD, definitive successful treatment with PCD alone (defined as no need for additional surgical intervention), number of patients requiring an additional surgical intervention, complications, and mortality.…”

Section: Data Extractionmentioning

confidence: 99%

Percutaneous Catheter Drainage in Infected Pancreatitis Necrosis: a Systematic Review

et al. 2016

Indian J Surg

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The primary aim of this study was to present the outcomes of percutaneous catheter drainage (PCD) in patients with infected pancreatitis necrosis. A second aim was to focus on disease severity, catheter size, and additional surgical intervention. A literature search of the PubMed/MEDLINE/Cochrane Library (January 1998 to February 2015) databases was conducted. All randomized, non-randomized, and retrospective studies with data on PCD techniques and outcomes in patients with infected pancreatitis necrosis were included. Studies that reported data on PCD along with other interventions without the possibility to discriminate results specific to PCD were excluded. The main outcomes were mortality, major complications, and definitive successful treatment with percutaneous catheter drainage alone. Fifteen studies of 577 patients were included. There was only one randomized, controlled trial, and most others were retrospective case series. Organ failure before PCD occurred in 55.3 % of patients. With PCD alone, definitive successful treatment was 56.2 % of patients. Additional surgical intervention was required after PCD in 38.5 % of patients. The overall mortality rate was 18 % (104 of 577 patients). Complications occurred in 25

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A Modified Ct Severity Index for Evaluating Acute Pancreatitis: Improved Correlation With Patient Outcome.

Cited by 113 publications

References 0 publications

Evaluation of diagnostic findings and scoring systems in outcome prediction in acute pancreatitis

Evaluation of diagnostic findings and scoring systems in outcome prediction in acute pancreatitis

Practice Guidelines in Acute Pancreatitis

Percutaneous Catheter Drainage in Infected Pancreatitis Necrosis: a Systematic Review

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