Pancreatitis - Revision history

Mikael Häggström: Templated

2018-12-06T13:48:41Z

Templated

Mikael Häggström: +CT indications

2018-11-05T10:11:26Z

+CT indications

Mikael Häggström: /* Acute pancreatitis */ acute

2018-11-05T07:40:03Z

Acute pancreatitis: acute

Mikael Häggström: Started

2018-11-05T07:39:36Z

Started

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==Acute pancreatitis==
===Choice of investigation===
*'''[[Ultrasonography of pancreatitis]]''' is generally the first investigation of choice in suspected pancreatitis.<ref name="BhattTiparse2017">{{cite journal|last1=Bhatt|first1=Aastha|last2=Tiparse|first2=Awdhut|last3=Patel|first3=Arpita|last4=Gandhi|first4=Birwa|title=USG and CT scan evaluation of patients of acute and chronic pancreatitis- a cross-sectional, comparative study|journal=International Journal of Research in Medical Sciences|volume=5|issue=8|year=2017|pages=3713|issn=2320-6012|doi=10.18203/2320-6012.ijrms20173591}}</ref><ref name="TürkvatanErden2015">{{cite journal|last1=Türkvatan|first1=A.|last2=Erden|first2=A.|last3=Türkoğlu|first3=M.A.|last4=Seçil|first4=M.|last5=Yener|first5=Ö.|title=Imaging of acute pancreatitis and its complications. Part 1: Acute pancreatitis|journal=Diagnostic and Interventional Imaging|volume=96|issue=2|year=2015|pages=151–160|issn=22115684|doi=10.1016/j.diii.2013.12.017}}</ref><ref name="BusireddyAlObaidy2014">{{cite journal|last1=Busireddy|first1=Kiran K|last2=AlObaidy|first2=Mamdoh|last3=Ramalho|first3=Miguel|last4=Kalubowila|first4=Janaka|last5=Baodong|first5=Liu|last6=Santagostino|first6=Ilaria|last7=Semelka|first7=Richard C|title=Pancreatitis-imaging approach|journal=World Journal of Gastrointestinal Pathophysiology|volume=5|issue=3|year=2014|pages=252|issn=2150-5330|doi=10.4291/wjgp.v5.i3.252}}</ref>
*'''[[CT of pancreatitis]]''' is indicated in:
:*Suspected severe pancreatitis, in order to stage the severity.<ref name="BusireddyAlObaidy2014"/>

:CT of pancreatitis should be a [[contrast CT]].<ref name="BusireddyAlObaidy2014"/>

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 ==Acute pancreatitis==
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 *'''[[Ultrasonography of pancreatitis]]''' is generally the first investigation of choice in suspected acute pancreatitis.<ref name="BhattTiparse2017">{{cite journal|last1=Bhatt|first1=Aastha|last2=Tiparse|first2=Awdhut|last3=Patel|first3=Arpita|last4=Gandhi|first4=Birwa|title=USG and CT scan evaluation of patients of acute and chronic pancreatitis- a cross-sectional, comparative study|journal=International Journal of Research in Medical Sciences|volume=5|issue=8|year=2017|pages=3713|issn=2320-6012|doi=10.18203/2320-6012.ijrms20173591}}</ref><ref name="TürkvatanErden2015">{{cite journal|last1=Türkvatan|first1=A.|last2=Erden|first2=A.|last3=Türkoğlu|first3=M.A.|last4=Seçil|first4=M.|last5=Yener|first5=Ö.|title=Imaging of acute pancreatitis and its complications. Part 1: Acute pancreatitis|journal=Diagnostic and Interventional Imaging|volume=96|issue=2|year=2015|pages=151–160|issn=22115684|doi=10.1016/j.diii.2013.12.017}}</ref><ref name="BusireddyAlObaidy2014">{{cite journal|last1=Busireddy|first1=Kiran K|last2=AlObaidy|first2=Mamdoh|last3=Ramalho|first3=Miguel|last4=Kalubowila|first4=Janaka|last5=Baodong|first5=Liu|last6=Santagostino|first6=Ilaria|last7=Semelka|first7=Richard C|title=Pancreatitis-imaging approach|journal=World Journal of Gastrointestinal Pathophysiology|volume=5|issue=3|year=2014|pages=252|issn=2150-5330|doi=10.4291/wjgp.v5.i3.252}}</ref>
 *'''[[CT of pancreatitis]]''' is indicated in:
-:*Suspected severe pancreatitis, in order to stage the severity.<ref name="BusireddyAlObaidy2014"/>
+:*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"/>
 :CT of pancreatitis should be a [[contrast CT]].<ref name="BusireddyAlObaidy2014"/>
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