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Published on: June 28, 2021
Acute pancreatitis: assessment severity with Ranson score and CT evaluation
Potchavit Aphinives1, Chananya Karunasumetta, Vajarabhongsa Bhudhisawasdi
1Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. potchavit@yahoo.com
Background:
Severe acute pancreatitis is a complex and challenging problem. The aim of the present study was to assess severe acute pancreatitis (SAP) with Ranson score and CT scan.
Material And Method:
Between January 2000 and December 2005, all patients who had each of the following criteria (1) first-time diagnosis of acute pancreatitis, (2) acute pancreatitis as the primary admitting diagnosis and (3) contrasted-enhanced computed tomography (CE-CT) were retrospectively reviewed.
Results:
Ninety-eight patients that met the present study criteria were identified. Of these patients, 27 were defined as SAP by using Ranson criteria and/or CE-CT. Within SAP group, factors showing significance (p < 0.05) in the patients that had a Ranson score between > or = 3 and < 3 were age and biliary tract stone.
Conclusion:
The incidence of severe acute pancreatitis in Srinagarind Hospital was 27.5%. Biliary disease and alcohol abuse together accounted for 81:48% of severe acute pancreatitis patients.
Related Concept Videos
Acute Pancreatitis II: Clinical Manifestations and Management
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Acute Pancreatitis I: Introduction
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
Acute Pancreatitis II: Pathophysiology
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Assessment:
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