Authors
1
Al Yarmook Teaching Hospital, Baghdad, Iraq
2
Diagnostic Radiology. The Iraqi Board for Medical Specializations
,
Document Type : Research Paper
Abstract
ABSTRACT:
BACKGROUND:
Pancreatitis is inflammation of the pancreas. Pancreatitis can appear in its acute form, that is, it appears suddenly and lasts a few days. Some people may develop chronic pancreatitis, which lasts for many years. Mild cases of pancreatitis get better with treatment, but severe cases can cause life-threatening complications.
OBJECTIVE:
To assess the modified Baltazar score Computed tomography severity index of acute pancreatitis
PATIENTS AND METHOD:
A cross sectional analytic study was performed at Al-Yarmouk Teaching Hospital in Department of Radiology in the period from 1st of January 2021 to the end of November 2021. The current study involved 50 patients (male and female), age ranging (18-70 years) referred from emergency and outpatients.
RESULTS:
Significantly found that survival rate decreased with severity, indicated higher mortality rates in severe cases and that Computed tomography severity index significantly correlated with outcome of patients, Computed tomography severity index score was good predictor for longer duration of hospitalization with high sensitivity, specificity and accuracy of 85.7%, 93.1% and 89.4%, respectively with high positive predictive value of 92.5% and negative predictive value of 86.7%.
CONCLUSION:
Modified CTSI is an excellent predictor of outcome of acute pancreatitis with high sensitivity, specificity and accuracy rates with high PPV and NPV
- Chatila AT, Bilal M, Guturu P. Evaluation and management of acute pancreatitis. World journal of clinical cases. 2019;7:1006-20.
- Shah AP, Mourad MM, Bramhall SR. Acute pancreatitis: current perspectives on diagnosis and management. Journal of inflammation research. 2018;11:77-85.
- Türkvatan A, Erden A, Türkoğlu MA, Seçil M, Yener Ö. Imaging of acute pancreatitis and its complications. Part 1: acute pancreatitis. Diagnostic and interventional imaging. 2015 ;96:151-60.
- Bharwani N, Patel S, Prabhudesai S, Fotheringham T, Power N. Acute pancreatitis: the role of imaging in diagnosis and management. Clin Radiol 2011; 66:164-75.
- Kondo H, Kanematsu M, Goshima S, et al. MDCT of the pancreas: optimizing scanning delay with a bolus-tracking technique for pancreatic, peripancreatic vascular, and hepatic contrast enhancement. AJR Am J Roentgenol 2017; 188:751-56.
- Trout AT, Elsayes KM, Ellis JH, Francis IR. Imaging of acute pancreatitis: prognostic value of computed tomographic findings. J Comput Assist Tomogr 2010;34:485-95.
- Banday IA, Gattoo I, Khan AM, Javeed J, Gupta G, Latief M. Modified computed tomography severity index for evaluation of acute pancreatitis and its correlation with clinical outcome: A tertiary care hospital based observational study. J Clin Diagnostic Res. 2015;9:TC01–5.
- Garg SK, Sarvepalli S, Campbell JP, Obaitan I, Singh D, Bazerbachi F, et al. Incidence, admission rates, and predictors, and economic burden of adult emergency visits for acute pancreatitis. J Clin Gastroenterol. 2019;53:220–25.
- Garg SK, Campbell JP, Anugwom C, Wadhwa V, Singh R, Gupta N, et al. Incidence and predictors of readmissions in acute pancreatitis: a nationwide analysis. Pancreas. 2018;47:46–54.
- Raghuwanshi S, Gupta R, Vyas MM, Sharma R. CT evaluation of acute pancreatitis and its prognostic correlation with CT severity index. J Clin Diagnostic Res. 2016;10:TC06-TC11.
- Reynolds PT, Brady EK, Chawla S. The utility of early cross-sectional imaging to evaluate suspected acute mild pancreatitis. Ann Gastroenterol. 2018;31:628–32.
- Türkvatan A, Erden A, Türkoǧlu MA, Seçil M, Yener. Imaging of acute pancreatitis and its complications. Part 1: Acute pancreatitis. Diagn Interv Imaging. 2015;96:151–60.
- Spanier BWM, Nio Y, van der Hulst RWM, Tuynman HARE, Dijkgraaf MGW, Bruno MJ. Practice and Yield of Early CT Scan in Acute Pancreatitis: A Dutch Observational Multicenter Study. Pancreatology. 2010;10:222–28.
- Lautz TB, Turkel G, Radhakrishnan J, Wyers M, Chin AC. Utility of the computed tomography severity index (Balthazar score) in children with acute pancreatitis. J Pediatr Surg. 2012;47:1185–91.
- Mortele KJ, Wiesner W, Intriere L, Shankar S, Zou KH, Kalantari BN, et al. A modified CT severity index for evaluating acute pancreatitis: Improved correlation with patient outcome. Am J Roentgenol. 2004;183:1261–65.
- Chishty IA, Bari V, Pasha S, Burhan D, Haider Z, Rafique Z. Role of computed tomography in acute pancreatitis and its complications among age groups. J Pak Med Assoc. 2005;55:431–35.
)
