A new method for the diagnosis of acute hemorrhagic-necrotizing pancreatitis using contrast-enhanced CT

Kivisaari, Leena; Somer, K; Standertskjöld‐Nordenstam, C.‐G.; Schröder, T; Kivilaakso, Eero; Lempinen, M

doi:10.1007/bf01887796

Cited by 86 publications

(29 citation statements)

References 15 publications

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“…Several authors have reported on groups with a majority of severe cases [5,12,14,15,21], This study is based on a patient material exhibiting the total spectrum of pancreatitis with the majority being nonsevere cases and only 17% having clinically severe pancreati tis. A diagnostic sensitivity of 83% and a specificity of 80% in this study indicate that the method is useful for clinical purposes.…”

Section: Discussionmentioning

confidence: 99%

“…At contrast injection a reduced uptake corre sponding to less than 20 HU was considered as a sign of pancreatic ischaemia, based on results from Kivisaari et al [15].…”

Section: Methodsmentioning

confidence: 99%

“…Serial CT scanning has shown that most changes occur within 72 h [9], The findings at CT have been reported to contain prognostic information by some authors [10][11][12], but not by others [5,13]. The use of CT + intravenous contrast me dium reflects the circulatory state of the gland, which could be important in identi fying severe cases [14][15][16],…”

mentioning

confidence: 99%

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Early Diagnosis and Classification in Acute Pancreatitis

Hjelmqvist

Wattsgård²,

Borgström³

et al. 1989

Digestion

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The clinical outcome in 52 consecutive episodes of suspected acute pancreatitis was compared with Ranson’s prognostic signs and findings on noncontrast and contrast-enhanced computed tomography (CT) scans performed within 24 h of patient admission. The predictive value of CT scan for diagnosis was 95% for positive results and 53% for negative results. In providing an accurate prognosis of a single attack, scoring of extrapancreatic signs was as good as that of Ranson’s prognostic signs. CT with contrast medium revealed pancreatic ischaemia in 3 cases of 4 with clinically severe disease. The risk of developing severe pancreatitis was 23% in first attacks and 6% in relapses. Early CT scan is recommended in most patients with suspected pancreatitis to confirm diagnosis and to predict the severity of an attack.

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Section: Discussionmentioning

confidence: 99%

“…At contrast injection a reduced uptake corre sponding to less than 20 HU was considered as a sign of pancreatic ischaemia, based on results from Kivisaari et al [15].…”

Section: Methodsmentioning

confidence: 99%

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Early Diagnosis and Classification in Acute Pancreatitis

Hjelmqvist

Wattsgård²,

Borgström³

et al. 1989

Digestion

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“…Sequential scanning of a selected level of the pancreas is then performed. The contrast enhancement of the pancreas is recorded and plotted on a standard curve [9]. The results have shown that in all patients with severe hemorrhagic necrotizing pancreatitis, the contrast en hancement is decreased significantly as com pared to those patients with milder forms of the disease [28].…”

Section: Computed Tomographymentioning

confidence: 99%

Diagnosis of Acute Pancreatitis

Lempinen

Schröder²

1986

Eur Surg Res

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The diagnosis of acute pancreatitis is still mainly based on the clinical signs and symptoms of the patients. Systemic organ failure, peritonitis and/or shock indicate severe disease, but to obtain optimal results of treatment the diagnosis of individual patients at high risk should be done before the development of systemic manifestations. A number of laboratory tests are valuable in the follow-up of the patients, but immediate onset of intensive therapy cannot be based on these tests. At present, contrast enhanced CT seems to be the most accurate method for the early detection of hemorrhagic/necrotizing forms of acute pancreatitis.

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“…[39][40][41][42]. The main differences in estimating the severity of AP rely on the degree of contrastenhancement of the pancreatic parenchyma [40]. the quantification of pancreatic necrosis in percent ol the entire gland [39].…”

Section: Prognosis Via C T Scanmentioning

confidence: 99%

Role of Imaging Technics in the Classification of Acute Pancreatitis

Meyer

Clavien²,

Robert³

et al. 1992

Dig Dis

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This paper is a review of some aspects of acute pancreatitis (AP) (definition criteria, outcome, and prognostic factors) and a reminder of the invaluable contribution of computed tomography (CT) in confirming the diagnosis of AP, distinguishing between edematous and necrotizing forms, and in providing prognostic information via detection of possible extrapancreatic spreads (EPS). The Geneva experience (510 cases of AP over a 9-year period) has shown that no fatalities occurred when no EPS were found on CT performed within 48 h of admission; mortality was 1.5% in the case of 1 or 2 EPS and 19 % in the case of 3 EPS or more.

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A new method for the diagnosis of acute hemorrhagic-necrotizing pancreatitis using contrast-enhanced CT

Cited by 86 publications

References 15 publications

Early Diagnosis and Classification in Acute Pancreatitis

Early Diagnosis and Classification in Acute Pancreatitis

Diagnosis of Acute Pancreatitis

Role of Imaging Technics in the Classification of Acute Pancreatitis

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