Role of Imaging Methods in Diagnosis of Acute Pancreatitis

被引:1
作者
Valek, V. [1 ,4 ]
Kala, Z. [2 ,4 ]
Dite, P. [3 ,4 ]
机构
[1] Univ Hosp Brno, Dept Radiol, CZ-62500 Brno, Czech Republic
[2] Univ Hosp Brno, Dept Surg, CZ-62500 Brno, Czech Republic
[3] Univ Hosp Brno, Dept Gastroenterol & Hepatol, CZ-62500 Brno, Czech Republic
[4] Masaryk Univ, Fac Med, Brno, Czech Republic
关键词
Acute pancreatitis; Balthazar classification; Drainage; CT severity index; Necrosis; Pseudocyst; Abscess; ACUTE NECROTIZING PANCREATITIS; CONTRAST-ENHANCED CT; CLASSIFICATION-SYSTEM; CATHETER DRAINAGE; SEVERITY; COMPLICATIONS; MRI;
D O I
10.1159/000319407
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Diagnosis and treatment of acute pancreatitis is a complex interdisciplinary team problem. Without knowledge of classification and the current opinion of other experts on this disease, the radiologist cannot be an adequate partner in this team. Nonetheless, the radiologist has a very important position, primarily 'thanks to' computed tomography (CT) in diagnosis and fading of the disease and the possibilities offered by minimally invasive treatment of early and late complications of this disease. A turning point from the viewpoint of diagnosing acute pancreatitis was first marked by Balthazar's classification and then establishing the CTSI (severity index for the disease based on CT findings), proposed by Balthazar as well. Radiologists' increasingly more active approach to drainage of acute fluid collections and pseudocysts in patients with acute pancreatitis as well as some possibilities for percutaneous treatment of necroses has led to a reassessment of surgeons' attitudes. A persistent problem is the correct indication and timing of CT scans and the drainage itself. In their concise communication, the authors present data from the literature and summarize their own experience. They highlight the most common mistakes, especially in the indication and timing of individual methods. Finally, they present their views on a practical approach to the use of CT and percutaneous drainage in these patients. Copyright (C) 2010 S. Karger AG, Basel
引用
收藏
页码:317 / 323
页数:7
相关论文
共 21 条
[1]  
ABDULNASSER A, 2008, ABDOM IMAGING, V33, P18
[2]   Nonenhanced magnetic resonance imaging of mild acute pancreatitis [J].
Amano, Y ;
Oishi, T ;
Takahashi, M ;
Kumazaki, T .
ABDOMINAL IMAGING, 2001, 26 (01) :59-63
[3]   Computed tomography and magnetic resonance imaging in the assessment of acute pancreatitis [J].
Arvanitakis, M ;
Delhaye, M ;
De Maertelaere, V ;
Bali, M ;
Winant, C ;
Coppens, E ;
Jeanmart, J ;
Zalcman, M ;
Van Gansbeke, D ;
Devière, J ;
Matos, C .
GASTROENTEROLOGY, 2004, 126 (03) :715-723
[4]   Acute pancreatitis: Assessment of severity with clinical and CT evaluation [J].
Balthazar, EJ .
RADIOLOGY, 2002, 223 (03) :603-613
[5]  
BANKS PA, 1994, AM J GASTROENTEROL, V89, P151
[6]   Perfusion measurement in acute pancreatitis using dynamic perfusion MDCT [J].
Bize, PE ;
Platon, A ;
Becker, CD ;
Poletti, PA .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2006, 186 (01) :114-118
[7]  
BRADLEY EL, 1993, ARCH SURG-CHICAGO, V128, P586
[8]   Prognostic value of CT in the early assessment of patients with acute pancreatitis [J].
Casas, JD ;
Díaz, R ;
Valderas, G ;
Mariscal, A ;
Cuadras, P .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2004, 182 (03) :569-574
[9]   Percutaneous CT-guided catheter drainage of infected acute necrotizing pancreatitis: Techniques and results [J].
Freeny, PC ;
Hauptmann, E ;
Althaus, AJ ;
Traverso, LW ;
Sinanan, M .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1998, 170 (04) :969-975
[10]  
Gürleyik G, 2005, J PANCREAS, V6, P562