Analysis of the Power of Common Diagnostic Tools in the Management of Acute Pancreatitis
Joint Authors
Lohse, Ansgar W.
Zoltani, Malai
Tesauro, Manfredi
Di Daniele, Nicola
Nistal, Markus
Pace, Andrea
Source
Gastroenterology Research and Practice
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-08-19
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Acute pancreatitis (AP) is a serious medical condition usually associated with severe upper abdominal pain.
The purpose of our study is to assess the therapeutic consequences of contrast-enhanced computed tomography (CE-CT) and the predictive value of CRP for severe pancreatitis.
We included patients with a threefold increase of plasma lipase who had received a CE-CT or had a CRP of =150 mg/dl.
A total of 74 out of 283 patients got a contrast-enhanced CT scan; in 11 cases the CT was followed by endoscopic or surgical interventions as therapeutic consequences compared with 19 out of 50 control cases.
69 out of 283 patients (24,3%) had CRP >150 mg/dl within 48 hours after admission.
32 of them had SAP.
The CRP cutoff of 150 mg/L had a sensitivity of 80% and a specificity of 65%.
The positive predictive value for SAP in patients beyond the cutoff is 46.4%.
The negative predictive value for SAP in patients below the cutoff was 89.5%.
Our results support the opinion that an early CE-CT is usually not indicated.
CRP helps to assess the course of AP; levels below 150 mg/dl between the first 48 h indicate a mild course in most of the cases.
American Psychological Association (APA)
Nistal, Markus& Zoltani, Malai& Lohse, Ansgar W.& Di Daniele, Nicola& Tesauro, Manfredi& Pace, Andrea. 2014. Analysis of the Power of Common Diagnostic Tools in the Management of Acute Pancreatitis. Gastroenterology Research and Practice،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-472377
Modern Language Association (MLA)
Nistal, Markus…[et al.]. Analysis of the Power of Common Diagnostic Tools in the Management of Acute Pancreatitis. Gastroenterology Research and Practice No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-472377
American Medical Association (AMA)
Nistal, Markus& Zoltani, Malai& Lohse, Ansgar W.& Di Daniele, Nicola& Tesauro, Manfredi& Pace, Andrea. Analysis of the Power of Common Diagnostic Tools in the Management of Acute Pancreatitis. Gastroenterology Research and Practice. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-472377
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-472377