[Prognostic value of x-ray computed tomography in acute pancreatitis. Value of a new classification].
CT plays an important role in the screening of complications of acute hemorrhagic pancreatitis. There are three classifications at present, one based on a bioclinical score (Ranson) and the other two consisting of gradual stages of severity and resorting to CT imaging (Balthazar and Hill). The authors report about a study on 34 cases of acute pancreatitis, including 10 that became complicated, to which they applied a new classification including the existence of glandular necrosis, the number of extrapancreatic streaks, related to Ranson's bioclinical score. This classification makes it possible to classify acute pancreatitis into three stages: a mild stage with a favorable outcome, a medium stage requiring close surveillance, and stage 3 involving a high (75%) risk of severe complications.
Perret
B
B
Hôpital Cochin, Service de Radiologie, Paris.
Chikhi
N
N
Legmann
P
P
Tudoret
L
L
Girardot
C
C
Hazebroucq
V
V
Uzan
E
E
Bonnin
A
A
D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000145:classification / Q000000981:diagnostic imaging*; D011379:Prognosis; D014057:Tomography, X-Ray Computed
Valeur pronostique de la tomodensitométrie dans les pancréatites aiguës (PA). Intérêt d'une nouvelle classification.