Original Articles
Role of multidetector computed tomography in imaging of fluid collections in acute pancreatitis and its correlation with clinical prognosis in accordance with revised atlanta classification | |
Dr. Poonam Ohri, Dr. Muskan Singla, Dr. Harpreet Singh, Dr. Mansi Kohli, Parushi Kohli, Dr. Sanjeev Kumar Kohli, Dr. Manpreet Kaul | |
Aim: The aim was to correlate radiological findings of acute pancreatitis with clinical and biochemical parameters for proper management of the disease and its prognostication. Materials and Methods: 50 individuals with clinically suspected acute pancreatitis were studied to evaluate the correlation between CT findingswith clinical outcome in terms of duration of hospital stay, ICU admissions, need for surgical intervention and overall mortality. Observations and results: A total of 50 patients were included in this study. Out of which 68% was males. Most common etiology was alcohol (36%)followed by gall stones (30%).Mean hospital stay was 15.1 days and was significantly longer with necrotizing pancreatitis (p=0.001) 60% patients had non-necrotizing pancreatitis and 40% patients had necrotizing pancreatitis. 90% patients were managed conservatively. The patients who had surgical management, all of them had necrotizing pancreatitis. The rate of complications was significantly higher in necrotic pancreatic collections like ICU admissions, development of MODS and development of sepsis. Conclusion: The Modified Atlanta Classification is useful in assessing acute pancreatitis complications and their relationship to clinical outcome. Positive correlation was found between radiological findings and duration of hospital stay, ICU admissions, development ofMODS and sepsis and need for surgical intervention. |
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