Imaging of Acute Pancreatitis: Update of the Revised Atlanta Classification

被引:45
作者
Bollen, Thomas L. [1 ]
机构
[1] St Antonius Hosp, Dept Radiol, NL-3430 EM Nieuwegein, Netherlands
关键词
Acute pancreatitis; Classification; Severity; Pancreatic necrosis; Peripancreatic collections; NECROTIZING PANCREATITIS; COMPUTED-TOMOGRAPHY; FLUID COLLECTIONS; ORGAN FAILURE; CT; DYSFUNCTION; SEVERITY; NECROSIS; INTERVENTION; INFECTION;
D O I
10.1016/j.rcl.2012.03.015
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Acute pancreatitis is an acute inflammatory process of the pancreatic gland with increasing incidence worldwide. Usually the clinical presentation and course are mild, with an uneventful recovery. In 10% to 20% of patients, however, local and systemic complications develop, resulting in significant morbidity and mortality. In 1992, the Atlanta symposium provided definitions for acute pancreatitis and its severity. Insights into the pathophysiology of the disease, improved diagnostic imaging, and implementation of minimally invasive techniques have led to classification updates. This article reviews the cross-sectional imaging features of acute pancreatitis and presents proposed definitions of the revised Atlanta classification.
引用
收藏
页码:429 / +
页数:18
相关论文
共 39 条
[1]   ACUTE-PANCREATITIS - VALUE OF CT IN ESTABLISHING PROGNOSIS [J].
BALTHAZAR, EJ ;
ROBINSON, DL ;
MEGIBOW, AJ ;
RANSON, JHC .
RADIOLOGY, 1990, 174 (02) :331-336
[2]   Acute pancreatitis: Assessment of severity with clinical and CT evaluation [J].
Balthazar, EJ .
RADIOLOGY, 2002, 223 (03) :603-613
[3]   Staging of acute pancreatitis [J].
Balthazar, EJ .
RADIOLOGIC CLINICS OF NORTH AMERICA, 2002, 40 (06) :1199-+
[4]   IMAGING AND INTERVENTION IN ACUTE-PANCREATITIS [J].
BALTHAZAR, EJ ;
FREENY, PC ;
VANSONNENBERG, E .
RADIOLOGY, 1994, 193 (02) :297-306
[5]   Endoscopic therapy for organized pancreatic necrosis [J].
Baron, TH ;
Thaggard, WG ;
Morgan, DE ;
Stanley, RJ .
GASTROENTEROLOGY, 1996, 111 (03) :755-764
[6]   Timing and impact of infections in acute pancreatitis [J].
Besselink, M. G. ;
van Santvoort, H. C. ;
Boermeester, M. A. ;
Nieuwenhuijs, V. B. ;
van Goor, H. ;
Dejong, C. H. C. ;
Schaapherder, A. F. ;
Gooszen, H. G. .
BRITISH JOURNAL OF SURGERY, 2009, 96 (03) :267-273
[7]   Describing computed tomography findings in acute necrotizing pancreatitis with the Atlanta classification -: an interobserver agreement study [J].
Besselink, Marc G. H. ;
van Santvoort, Hjalmar C. ;
Bollen, Thomas L. ;
van Leeuwen, Maarten S. ;
Laméris, Johan S. ;
van der Jagt, Eric J. ;
Strijk, Simon P. ;
Buskens, Erik ;
Freeny, Patrick C. ;
Gooszen, Hein G. .
PANCREAS, 2006, 33 (04) :331-335
[8]   Acute pancreatitis: The role of imaging in diagnosis and management [J].
Bharwani, Nishat ;
Patel, Shilpa ;
Prabhudesai, Shirish ;
Fotheringham, Tim ;
Power, Niall .
CLINICAL RADIOLOGY, 2011, 66 (02) :164-175
[9]   The Atlanta classification of acute pancreatitis revisited [J].
Bollen, F. L. ;
van Santvoort, H. C. ;
Besselink, M. G. ;
van Leeuwen, M. S. ;
Horvath, K. D. ;
Freeny, P. C. ;
Gooszen, H. G. .
BRITISH JOURNAL OF SURGERY, 2008, 95 (01) :6-21
[10]   Update on acute pancreatitis: Ultrasound, computed tomography, and magnetic resonance Imaging features [J].
Bollen, Thomas L. ;
van Santvoort, Hjalmar C. ;
Besselink, Marc G. H. ;
van Es, Wouter H. ;
Gooszen, Hein G. ;
van Leeuwen, Maarten S. .
SEMINARS IN ULTRASOUND CT AND MRI, 2007, 28 (05) :371-383