Role of Computed Tomography in Imaging and Classification of Acute Pancreatitis based on Revised Atlanta Classification: A 1-year Hospital-based Cross-sectional Study
Journal Title: International Journal of Contemporary Medicine surgery and Radiology - Year 2018, Vol 3, Issue 2
Abstract
Introduction: Several ideal multifactorial clinical and radiological scoring systems such as Ranson's criteria, the acute physiology and chronic health evaluation, and computed tomography (CT) severity index have developed to differentiate the patients with mild pancreatitis to those with severe cases. However, all these scoring systems has its own limitations. Hence, 1992 Atlanta Classification System, revised in 2012, is used to identify two phases of acute pancreatitis (AP) that is early and late. The current study aimed to classify AP based on revised Atlanta classification with the help of CT. Material and Methods: A total of 60 patients with AP referred for CT scan were studied. Demographics, history and clinical investigations of the patients were recorded. A 64-section multiple detector CT scanner was used for the imaging. The images obtained were examined for the features of AP and classified based on revised Atlanta classification. Results: Most (29, 48.33%) of the patients had interstitial edematous pancreatitis at initial stage. Most of the patients had irregular contour (58, 96.67%), diffuse size (53, 88.33%), homogenous density (35, 58.33%), necrosis (36, 60%), normal vascular structure (49, 81.67%), normal liver (8, 13.33%), sludge gallbladder (1, 1.67%), and no gall stones (50, 83.33%). Also, majority (16, 26.67%) of the patients had interstitial edematous pancreatitis with pseudocyst as late diagnosis. Conclusion: The revised Atlanta Classification of AP has been able to provide complex patterns of the dynamics involved in the evolution of AP. It provides clear distinction between an early phase and a late phase.
Authors and Affiliations
Virupaxi. V. Hattiholi, Sandhya A Yadav
Keywords
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- EP ID EP424481
- DOI 10.21276/ijcmsr.2018.3.2.34
- Views 126
- Downloads 0
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