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Perfusion computerized tomography can predict pancreatic necrosis in early stages of severe acute pancreatitis.

Perfusion computerized tomography can predict pancreatic necrosis in early stages of severe acute pancreatitis. Research Abstract Details 

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  • Perfusion computerized tomography can predict pancreatic necrosis in early stages of severe acute pancreatitis. Abstract Text:

    yoshihisa tsujiYoshihisa Tsuji,hiroshi yamamotoHiroshi Yamamoto,shujiro yazumiShujiro Yazumi,yuji watanabeYuji Watanabe,kazuhiro matsuedaKazuhiro Matsueda,hiroyuki yamamotoHiroyuki Yamamoto,tsutomu chibaTsutomu Chiba,yoshihisa tsujiYoshihisa Tsuji,hiroshi yamamotoHiroshi Yamamoto,shujiro yazumiShujiro Yazumi,yuji watanabeYuji Watanabe,kazuhiro matsuedaKazuhiro Matsueda,hiroyuki yamamotoHiroyuki Yamamoto,tsutomu chibaTsutomu Chiba,yoshihisa tsujiYoshihisa Tsuji,hiroshi yamamotoHiroshi Yamamoto,shujiro yazumiShujiro Yazumi,yuji watanabeYuji Watanabe,kazuhiro matsuedaKazuhiro Matsueda,hiroyuki yamamotoHiroyuki Yamamoto,tsutomu chibaTsutomu Chiba,

    BACKGROUND & AIMS: The mortality rate associated with severe acute pancreatitis (SAP) with necrosis remains high because early prediction of pancreatic necrosis is difficult. We evaluated whether perfusion computerized tomography (CT), which is used to identify early stage ischemia in the brain, could detect ischemic changes in the pancreas in the early stages of SAP and predict development of necrosis. PATIENTS AND METHODS: Thirty consecutive patients with a diagnosis of SAP according to the Atlanta criteria and whose score was greater than 6 were enrolled in this study. All patients were hospitalized within 3 days after onset of symptoms indicative of acute pancreatitis and underwent perfusion CT. Three weeks later, all patients underwent conventional contrast-enhanced CT to detect progression of their disease. RESULTS: Perfusion CT showed that 10 of the 30 patients had pancreatic ischemia at the time of diagnosis. Contrast-enhanced CT disclosed that pancreatic necrosis developed in 9 of these 10 patients, but not in the 20 patients who did not have pancreatic ischemia. The sensitivity and specificity of perfusion CT for predicting pancreatic necrosis was calculated to be 100% and 95.3%, respectively. CONCLUSIONS: Perfusion CT is a useful tool for early detection of ischemic changes in the pancreas that lead to pancreatic necrosis.

    Perfusion computerized tomography can predict pancreatic necrosis in early stages of severe acute pancreatitis. Publishing Authors By Initials

    y tsujiY Tsuji,h yamamotoH Yamamoto,s yazumiS Yazumi,y watanabeY Watanabe,k matsuedaK Matsueda,h yamamotoH Yamamoto,t chibaT Chiba,y tsujiY Tsuji,h yamamotoH Yamamoto,s yazumiS Yazumi,y watanabeY Watanabe,k matsuedaK Matsueda,h yamamotoH Yamamoto,t chibaT Chiba,y tsujiY Tsuji,h yamamotoH Yamamoto,s yazumiS Yazumi,y watanabeY Watanabe,k matsuedaK Matsueda,h yamamotoH Yamamoto,t chibaT Chiba,

    For similar abstracts research abstracts see: abstracts research

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    Perfusion computerized tomography can predict pancreatic necrosis in early stages of severe acute pancreatitis. Journal Published:

    PUBLICATION TYPE: Research Support, Non-U.S. Gov

    Journal: Clinical gastroenterology and hepatology : the off

    VOLUME: 5

    Page Numbers: 1484-92

    Journal Abbreviation: Clin. Gastroenterol. Hepatol.

    ISSN: 1542-7714

    DAY: 22

    MONTH: 10

    YEAR: 2007

    Perfusion computerized tomography can predict pancreatic necrosis in early stages of severe acute pancreatitis. Information

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    LANGUAGE: eng

    NlmUniqueID: 101160775

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    Grant and Affiliation Information for Perfusion computerized tomography can predict pancreatic necrosis in early stages of severe acute pancreatitis.

    AFFILIATION: Department of Gastroenterology and Hepatology, Kyoto University Graduate School of Medicine, Kyoto, Japan.

    Country: United States

    United States Research PublicationUnited States Research Publication

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    MEDLINETA: Clin Gastroenterol Hepatol

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