title: Angiographic features in acute pancreatitis: the severity of abdominal vessel ischemic change reflects the severity of acute pancreatitis.
abstract: 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.
authors: Department of Surgery II, Kumamoto University Medical School, Kumamoto-city, Japan.
authors: Kotaro
authors: K
authors: Inoue
authors: Masahiko
authors: M
authors: Hirota
authors: Toru
authors: T
authors: Beppu
authors: Takatoshi
authors: T
authors: Ishiko
authors: Yu
authors: Y
authors: Kimura
authors: Keisuke
authors: K
authors: Maeda
authors: Michio
authors: M
authors: Ogawa
mesh_terms: 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