Key words: Acute pancreatitis. APACHE-II. Ranson. Balthazar. Correlation. de severidad de la pancreatitis aguda según criterios de Ranson, APACHE-II y. The numerical CTSI has a maximum of ten points, and is the sum of the Balthazar grade points and pancreatic necrosis grade. Acute pancreatitis (AP) is one of the most common diseases of the gastrointestinal tract, leading to Balthazar EJ, Robinson DL, Megibow AJ et al .

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The CT severity index CTSI combines the Balthazar grade points with the extent of pancreatic necrosis points on a point severity scale.

Developed in the early s by Emil J. Extensive peripancreatic collections, which have liquid and non-liquid densities on CT.

CT Evaluation of Acute Pancreatitis and its Prognostic Correlation with CT Severity Index

This patient died on day 5 due to severe SIRS and multiple organ failure. They are seen within 4 weeks in necrotizing pancreatitis. It is proved that we can have patients who are classified with slight disease by means of the Ranson, APACHE-II or hematocrit criteria, however while performing the computed tomography, we found advanced Balthazar degrees, which indicate us that these scales must not be the only parameter to be taken into account to make the decision of performing or not this radiologic study in patients with slight acute pancreatitis.

According to Steinberg et al. Let us hope that in a future we can point out our finds in a more concrete way. Mumps is a more common cause in adolescents and young adults than in other age groups. Consequently it is sometimes better to describe these as ‘indeterminate peripancreatic collections’. In order to see the staging of pancreatic damage, these patients had performed an abdominal tomography 72 hours after the beginning of the symptoms.


Important remarks concerning Drainage: Intrinsic pancreatic abnormalities associated with hazy streaky densities representing inflammatory changes in the peri-pancreatic fat. For a better determination of the disease’s severity, it must be performed 2 to 3 days after the beginning of the symptoms.

The first CT underestimated the severity of the pancreatitis. Balthazar grading in patients with acute pancreatitis: On day 3 there is no enhancement of the pancreas, consistent with necrosis.

Most of them have no fluid collections and no necrosis. The diagnosis of acute pancreatitis was established with 2 of the 3 following criteria: Cytokine cascades result in a systemic inflammatory response syndrome SIRSwhich increases the risk of organ failure. Acute oedematous or interstitial pancreatitis. Early onset of organ failure is the best predictor of mortality in acute pancreatitis. An early CT may be misleading regarding the morphologic severity of the pancreatitis, because it may underestimate the presence and amount of necrosis.

CT Evaluation of Acute Pancreatitis and its Prognostic Correlation with CT Severity Index

The previous statement was carried out in all of our patients. The additional advantages of post-pyloric feeding are the inverse relationship of pancreatic exocrine secretions and distance of nutrient delivery from the pylorus, as well as reduced risk of aspiration. The strong relationship between the Modified CT severity baltbazar and the patient outcome in this study corroborates with the findings of Mortele et al. A CECT was performed.

Pancreas – Acute Pancreatitis 2.0

There were included files from patients of any gender admitted to the Gastroenterology Service of Mexico’s General Hospital from January to Decemberwith AP diagnosis of any etiology. The patient did not have fever. The change in severity scoring was seen mainly due to the presence of extrapancreatic complication. Peripancreatic vascular abnormalities complicating acute pancreatitis: Intrinsic pancreatic abnormalities with or without inflammatory changes in peripancreatic croterios.


The Glasgow score is valid for both gallstone and alcohol induced pancreatitis, whereas the Ranson score is only for alcohol induced pancreatitis [ citation needed ]. The study group consisted of 35 male and 15 female patients with a male: In severe pancreatitis serious amounts of necrosis determine the further clinical outcome.

Aim To assess prognostic correlation and clinical outcome of acute pancreatitis on the basis of CT severity index. Please review our privacy policy.

Reproducibility in the assessment of acute pancreatitis with computed tomography

Although the imaging characteristics in this case are similar to the patient with the pseudocyst, this proved to be infected walled-off-necrosis. Most common cause of death in patients with acute pancreatitis.

We found a similar distribution between the slight and severe disease: The necrosis also involves the peripancreatic tissue. This patient had fever and multiple organ failure. Rev Med Int Med Crit ; 1: A T2-weighted MRI sequence shows that the collection has a low signal intensity arrow.

Acute pancreatitis patients recover in majority of cases. The risks of ERCP are that it crtierios worsen pancreatitis, it may introduce an infection to otherwise sterile pancreatitis, and bleeding.

Prognostic value of CT in the early assessment of patients with acute pancreatitis. Serum lipase or amylase activity at least three times greater than the upper limit of normal. Diagnosis of Acute Pancreatitis The diagnosis of acute pancreatitis requires two of the following three features: