Role of imaging Methods in Diagnosis of Acute Pancreatitis

VÁLEK, Vlastimil, Zdeněk KALA a Petr DÍTĚ. Role of imaging Methods in Diagnosis of Acute Pancreatitis. Digestive Diseases and Sciences. 2010, roč. 28, č. 2, s. 317-323. ISSN 0163-2116.

Základní údaje

Originální název

Role of imaging Methods in Diagnosis of Acute Pancreatitis

Autoři

VÁLEK, Vlastimil (203 Česká republika, garant, domácí), Zdeněk KALA (203 Česká republika, domácí) a Petr DÍTĚ (203 Česká republika, domácí)

Vydání

Digestive Diseases and Sciences, 2010, 0163-2116

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Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30200 3.2 Clinical medicine

Stát vydavatele

Česká republika

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 2.060

Kód RIV

RIV/00216224:14110/10:00046535

Organizační jednotka

Lékařská fakulta

UT WoS

000281607100003

Klíčová slova anglicky

Acute pancreatitis Balthazar classification Drainage CT severity index Necrosis Pseudocyst Abscess

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Anotace

V originále

Diagnosis and treatment of acute pancreatitis is a complex interdisciplinary team problem. Without knowledge of classification and the current opinion of other experts on this disease, the radiologist cannot be an adequate partner in this team. Nonetheless, the radiologist has a very important position, primarily 'thanks to' computed tomography (CT) in diagnosis and fading of the disease and the possibilities offered by minimally invasive treatment of early and late complications of this disease. A turning point from the viewpoint of diagnosing acute pancreatitis was first marked by Balthazar's classification and then establishing the CTSI (severity index for the disease based on CT findings), proposed by Balthazar as well. Radiologists' increasingly more active approach to drainage of acute fluid collections and pseudocysts in patients with acute pancreatitis as well as some possibilities for percutaneous treatment of necroses has led to a reassessment of surgeons' attitudes. A persistent problem is the correct indication and timing of CT scans and the drainage itself. In their concise communication, the authors present data from the literature and summarize their own experience. They highlight the most common mistakes, especially in the indication and timing of individual methods. Finally, they present their views on a practical approach to the use of CT and percutaneous drainage in these patients.