On admission severe and sharp pain is associated with local and systemic complications of acute pancreatitis: a prospective cohort-analysis of 1435 cases

Pancreatology ◽  
2020 ◽  
Vol 20 ◽  
pp. S68-S69
Author(s):  
F. Mária ◽  
N. Gede ◽  
S. Kiss ◽  
Vincze î ◽  
J. Bajor ◽  
...  
2017 ◽  
Vol 4 (12) ◽  
pp. 4066
Author(s):  
Charan Panda ◽  
Niranjan Kumar Nayak ◽  
Manas Ranjan Behera ◽  
Sanjit Kumar Nayak

Background: Acute pancreatitis presents as acute abdomen, is an inflammatory process of the pancreas associated with local and systemic complications requiring, in such cases, an intensive care. At present, there are lots of scores (such as Ranson’s, APACHE II, bedside index for severity in acute pancreatitis) that help us in predicting severity at the time of admission, but these are time consuming or require complex calculation and are costly. Our aim here is to analyse the simplified stratification system of the PANC 3 score, and its assessment in Predicting Severity of Acute Pancreatitis as decided by modified Marshals score.Methods: It is a prospective analytical observational study in which 74 patients were evaluated with PANC 3 scoring, who were diagnosed with acute pancreatitis and admitted to Dept. Of General Surgery, MKCG.Results: The results showed that PANC3 score had a 95.91% specificity, 68% sensitivity, 89.47% positive predictive value, and 85.45% negative predictive value, 86.48% diagnostic accuracy.Conclusions: PANC3 scoring system is one of the better systems because the three criteria used (haematocrit, body mass index, and pleural effusion) are simple, easy to assess, readily available, and economic Hence, the PANC3 score is a cost-effective, promising score that helps in predicting the severity of acute pancreatitis and triaging the patient, leading to prompt management.


2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Xiao Xiao Chi ◽  
Xiao Ming Zhang ◽  
Tian Wu Chen ◽  
Wei Tang ◽  
Bo Xiao ◽  
...  

The main point of this paper is to study MRI findings of the normal mesostenium and the involvement of the mesostenium in acute pancreatitis and to discuss the relationship between the involvement of the mesostenium and the severity of acute pancreatitis. In clinical practice, the mesenterical involvement in acute pancreatitis was often observed on MRI in daily works, which was little recorded in the reported studies. We conducted the current study to assess the mesenterical involvement in acute pancreatitis with MRI. We found that the mesenterical involvement of acute pancreatitis patients is common on MRI. The mesenterical involvement has a positive correlation with the MR severity index and the Acute Physiology and Chronic Healthy Evaluation II scoring system. It has been shown that MR can be used to visualize mesenterical involvement, which is a supplementary indicator in evaluating the severity of acute pancreatitis and local and systemic complications.


2000 ◽  
Vol 118 (4) ◽  
pp. A164
Author(s):  
Bettina Rau ◽  
Katja Baumgart ◽  
Adam S. Paszkowski ◽  
Jens M. Mayer ◽  
Hans G. Beger

1999 ◽  
Vol 229 (6) ◽  
pp. 834 ◽  
Author(s):  
Jens Werner ◽  
Kaspar Z’graggen ◽  
Carlos Fernández-del Castillo ◽  
Kent B. Lewandrowski ◽  
Carolyn C. Compton ◽  
...  

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Yoshihisa Tsuji ◽  
Naoki Takahashi ◽  
Chiba Tsutomu

Early intensive care for severe acute pancreatitis is essential for improving SAP mortality rates. However, intensive therapies for SAP are often delayed because there is no ideal way to accurately evaluate severity in the early stages. Currently, perfusion CT has been shown useful to predict prognosis of SAP in the early stage. In this presented paper, we would like to review the clinical usefulness and limitations of perfusion CT for evaluation of local and systemic complications in early stage of SAP.


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