Role of imaging technics in the classification of acute pancreatitis.
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.
Meyer
P
P
Department of Surgery, University Hospital of Geneva, Switzerland.
Clavien
P A
PA
Robert
J
J
Hauser
H
H
Rohner
A
A
D000208:Acute Disease; D006801:Humans; D009336:Necrosis; D010195:Pancreatitis / Q000000981:diagnostic imaging* / Q000473:pathology*; D014057:Tomography, X-Ray Computed