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Acute pancreatitis: prognostic value of CT.
Abstract
In 83 patients with acute pancreatitis, the initial computed tomographic (CT) examinations were classified by degree of disease severity (grades A-E) and were correlated with the clinical follow-up, objective prognostic signs, and complications and death. The length of hospitalization correlated well with the severity of the initial CT findings. Abscesses occurred in 21.6% of the entire group, compared with 60.0% of grade E patients. Pleural effusions were also more common in grade E patients. Grades A and B patients did not have abscesses, and none died, regardless of the number of prognostic signs. Abscesses were seen in 80.0% of patients with six to eight prognostic signs, compared with 12.5% of those with zero to two. The use of prognostic signs with initial CT findings results in improved prognostic accuracy. Early CT examination of patients with acute pancreatitis is a useful prognostic indicator of morbidity and mortality.
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Cited by
Early diagnosis of pancreatic infection by computed tomography-guided aspiration
Gerzof, S. G., Banks, P. A., Robbins, A. H., Johnson, W. C., Spechler, S. J., Wetzner, S. M., Snider, J. M., Langevin, R. E., & Jay, M. E. (1987) · Gastroenterology · doi:10.1016/0016-5085(87)90261-7 · Cited by 385
van Baal, M. C., van Santvoort, H. C., Bollen, T. L., Bakker, O. J., Besselink, M. G., & Gooszen, H. G. (2011) · Journal of British Surgery · doi:10.1002/bjs.7304 · Cited by 358
Nair, S. (2000) · The American Journal of Gastroenterology · doi:10.1016/s0002-9270(00)01981-x · Cited by 290
Jacobson, B. C., Vander Vliet, M. B., Hughes, M. D., Maurer, R., McManus, K., & Banks, P. A. (2007) · Clinical Gastroenterology and Hepatology · doi:10.1016/j.cgh.2007.04.012 · Cited by 151
Metadata
- Authors
- Balthazar, E. J., Ranson, J. H., Naidich, D. P., Megibow, A. J., Caccavale, R., & Cooper, M. M.
- Venue
- Radiology
- Published
- 1985-09
- Volume
- 156
- Issue
- 3
- Pages
- 767-772
- ISSN
- 0033-8419 (ISSN-L)
- 1527-1315
- OpenAlex
- W2010903428
- Cited by
- 611
- References
- 0
- FWCI
- 4.10
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Acute pancreatitis: prognostic value of CT. https://app.cochat.ai/papers/10.1148/radiology.156.3.4023241
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- Balthazar, E. J., Ranson, J. H., Naidich, D. P., Megibow, A. J., Caccavale, R., & Cooper, M. M. (1985). Acute pancreatitis: prognostic value of CT. Radiology. https://doi.org/10.1148/radiology.156.3.4023241
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