Evaluation of severity by whole body CT in acute pancreatitis - Findings of early CT scanning and those numeration.:Findings of early CT scanning and those numeration

概要

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Evaluation of severity in acute pancreatitis is still controversial. We studied about thirteen cases of acute pancreatitis and calculated CT score using findings of early whole body CT scanning within forty eight hours after initial symptoms. Simultaneously we calculated clinical score too. CT score was constituted by ten points (changes limitted in pancreas itself, extension of inflammation and extrapancreatic fluid collection etc.). And clinical score was constituted by eight clinical symptoms and fourteen laboratory findings in fatal pancreatitis reported in Japan.From these studies, we conclude that early CT scanning is more useful for objective determination of severity and therapy (surgical or medical) in acute pancreatitis than clinical findings. So we made new classification of severity in acute pancreatitis by CT score as follows: severe (6_??_: surgical therapy), moderate (4 or 5: medical therapy possible) and mild (3_??_: medical therapy).
財団法人日本消化器病学会の論文