Angiographic features in acute pancreatitis: the severity of abdominal vessel ischemic change reflects the severity of acute pancreatitis.
BACKGROUND
Assessment of tissue microcirculation is one of the important aspects of pathological evaluation in acute pancreatitis. Severe ischemic change sometimes leads to the development of organ dysfunction and/or infectious complications.


OBJECTIVE
To evaluate the angiographic features of acute pancreatitis and correlate them with the severity of the disease.


METHODS
Retrospective study.


METHODS
Twenty-seven consecutive patients with acute pancreatitis who had undergone angiography were retrospectively investigated.


METHODS
Vascular findings and Ranson score.


RESULTS
Ischemic changes were found in 18 patients (66.7%); 11 (40.7%) were severe changes. Pseudoaneurysm, bleeding, and staining were seen in 4 (14.8%), 2 (7.4%) and 5 (18.5%) patients, respectively. The rate of severe ischemic changes was significantly correlated with the Ranson score (P=0.012). Conclusions Angiographic findings are useful for the evaluation of severe acute pancreatitis.
Inoue
Kotaro
K
Department of Surgery II, Kumamoto University Medical School, Kumamoto-city, Japan.
Hirota
Masahiko
M
Beppu
Toru
T
Ishiko
Takatoshi
T
Kimura
Yu
Y
Maeda
Keisuke
K
Ogawa
Michio
M
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D000792:Angiography; D001783:Blood Flow Velocity; D002445:Celiac Artery / Q000503:physiopathology*; D005260:Female; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior / Q000503:physiopathology*; D008875:Middle Aged; D010179:Pancreas / Q000098:blood supply* / Q000473:pathology; D010195:Pancreatitis / Q000401:mortality / Q000473:pathology*; D012189:Retrospective Studies; D012720:Severity of Illness Index; D015996:Survival Rate