Difference between revisions of "Template:Acute pancreatitis - choice of modality"
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:*Suspected severe pancreatitis (such as persisting organ failure, signs of sepsis, or deterioration in clinical status 3-7 days after admission),<ref name="RogersAdlan2014">{{cite journal|last1=Rogers|first1=P.|last2=Adlan|first2=T.|last3=Page|first3=G.|title=Non-invasive imaging in pancreatitis|journal=BMJ|volume=349|issue=aug28 1|year=2014|pages=g5223–g5223|issn=1756-1833|doi=10.1136/bmj.g5223}}</ref> in order to stage the severity,<ref name="BusireddyAlObaidy2014"/> also in children.<ref name="RestrepoHagerott2016">{{cite journal|last1=Restrepo|first1=Ricardo|last2=Hagerott|first2=Heidi E.|last3=Kulkarni|first3=Sakil|last4=Yasrebi|first4=Mona|last5=Lee|first5=Edward Y.|title=Acute Pancreatitis in Pediatric Patients: Demographics, Etiology, and Diagnostic Imaging|journal=American Journal of Roentgenology|volume=206|issue=3|year=2016|pages=632–644|issn=0361-803X|doi=10.2214/AJR.14.14223}}</ref> | :*Suspected severe pancreatitis (such as persisting organ failure, signs of sepsis, or deterioration in clinical status 3-7 days after admission),<ref name="RogersAdlan2014">{{cite journal|last1=Rogers|first1=P.|last2=Adlan|first2=T.|last3=Page|first3=G.|title=Non-invasive imaging in pancreatitis|journal=BMJ|volume=349|issue=aug28 1|year=2014|pages=g5223–g5223|issn=1756-1833|doi=10.1136/bmj.g5223}}</ref> in order to stage the severity,<ref name="BusireddyAlObaidy2014"/> also in children.<ref name="RestrepoHagerott2016">{{cite journal|last1=Restrepo|first1=Ricardo|last2=Hagerott|first2=Heidi E.|last3=Kulkarni|first3=Sakil|last4=Yasrebi|first4=Mona|last5=Lee|first5=Edward Y.|title=Acute Pancreatitis in Pediatric Patients: Demographics, Etiology, and Diagnostic Imaging|journal=American Journal of Roentgenology|volume=206|issue=3|year=2016|pages=632–644|issn=0361-803X|doi=10.2214/AJR.14.14223}}</ref> | ||
:*More uncertain diagnosis, such as acute [[abdominal pain]] where the clinic does not point towards the biliary system or pancreas, or a previous ultrasound not adequately visualizing the pancreas, also in children.<ref name="RestrepoHagerott2016"/> | :*More uncertain diagnosis, such as acute [[abdominal pain]] where the clinic does not point towards the biliary system or pancreas, or a previous ultrasound not adequately visualizing the pancreas, also in children.<ref name="RestrepoHagerott2016"/> | ||
| + | :*Initial evaluation of suggested chronic pancreatitis.<ref>{{cite web|url=https://emedicine.medscape.com/article/371772-overview#a3|title=Chronic Pancreatitis Imaging|date=2019-01-24|author=Ali Nawaz Khan|website=Medscape}}</ref> | ||
:CT of pancreatitis should be a '''[[contrast CT]]'''.<ref name="BusireddyAlObaidy2014"/> | :CT of pancreatitis should be a '''[[contrast CT]]'''.<ref name="BusireddyAlObaidy2014"/> | ||
*If a patient is treated for an acute pancreatitis of unknown cause without ultrasonograhy, it is appropriate to do an '''[[ultrasonography of gallstones]]''', which can be done at a later time.<noinclude> | *If a patient is treated for an acute pancreatitis of unknown cause without ultrasonograhy, it is appropriate to do an '''[[ultrasonography of gallstones]]''', which can be done at a later time.<noinclude> | ||
Revision as of 09:49, 7 June 2019
Choice of modality
- Ultrasonography of pancreatitis is generally the first investigation of choice in suspected acute pancreatitis.[1][2][3]
- CT of pancreatitis is indicated in:
- Suspected severe pancreatitis (such as persisting organ failure, signs of sepsis, or deterioration in clinical status 3-7 days after admission),[4] in order to stage the severity,[3] also in children.[5]
- More uncertain diagnosis, such as acute abdominal pain where the clinic does not point towards the biliary system or pancreas, or a previous ultrasound not adequately visualizing the pancreas, also in children.[5]
- Initial evaluation of suggested chronic pancreatitis.[6]
- CT of pancreatitis should be a contrast CT.[3]
- If a patient is treated for an acute pancreatitis of unknown cause without ultrasonograhy, it is appropriate to do an ultrasonography of gallstones, which can be done at a later time.
References
- ↑ Bhatt, Aastha; Tiparse, Awdhut; Patel, Arpita; Gandhi, Birwa (2017). "USG and CT scan evaluation of patients of acute and chronic pancreatitis- a cross-sectional, comparative study ". International Journal of Research in Medical Sciences 5 (8): 3713. doi:. ISSN 2320-6012.
- ↑ Türkvatan, A.; Erden, A.; Türkoğlu, M.A.; Seçil, M.; Yener, Ö. (2015). "Imaging of acute pancreatitis and its complications. Part 1: Acute pancreatitis ". Diagnostic and Interventional Imaging 96 (2): 151–160. doi:. ISSN 22115684.
- ↑ 3.0 3.1 3.2 Busireddy, Kiran K; AlObaidy, Mamdoh; Ramalho, Miguel; Kalubowila, Janaka; Baodong, Liu; Santagostino, Ilaria; Semelka, Richard C (2014). "Pancreatitis-imaging approach ". World Journal of Gastrointestinal Pathophysiology 5 (3): 252. doi:. ISSN 2150-5330.
- ↑ Rogers, P.; Adlan, T.; Page, G. (2014). "Non-invasive imaging in pancreatitis ". BMJ 349 (aug28 1): g5223–g5223. doi:. ISSN 1756-1833.
- ↑ 5.0 5.1 Restrepo, Ricardo; Hagerott, Heidi E.; Kulkarni, Sakil; Yasrebi, Mona; Lee, Edward Y. (2016). "Acute Pancreatitis in Pediatric Patients: Demographics, Etiology, and Diagnostic Imaging ". American Journal of Roentgenology 206 (3): 632–644. doi:. ISSN 0361-803X.
- ↑ Ali Nawaz Khan (2019-01-24). Chronic Pancreatitis Imaging. Medscape.
