Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2007 / Cilt: 13 - Sayı: 1

MR ajanları akut pankreatite neden olabir mi?

Do MRI agents cause or worsen acute pancreatitis?

Pages
78–79
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this article we report an unusual case of acute pancreatitis which might have been initiated and/or worsened by gadolinium.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Acute pancreatitis is still one of the challenging issues in general surgical practice in terms of diagnosis, management and follow-up.
📊
Key Findings & Data:CT evaluation of the patients with acute pancreatitis gained popularity in order to document necrosis within the pancreatic tissue which is one of the most important factor linked to the morbidity and even mortality of the disease.
💡
Conclusion & Impact:In this article we report an unusual case of acute pancreatitis which might have been initiated and/or worsened by gadolinium.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Orta yaşlı · Kontrast ortamı · Tanı

Abstract

Acute pancreatitis is still one of the challenging issues in general surgical practice in terms of diagnosis, management and follow-up. CT evaluation of the patients with acute pancreatitis gained popularity in order to document necrosis within the pancreatic tissue which is one of the most important factor linked to the morbidity and even mortality of the disease. Recent studies evidenced that agents used for CT evaluation might also contribute to pancreatic inflammation and cause necrosis. Recently, magnetic resonance imaging (MRI) with gadolinium has been speculated as a safer mean of providing optimum imaging of the pancreas than contrast enhanced CT. In this article we report an unusual case of acute pancreatitis which might have been initiated and/or worsened by gadolinium.

Özet

Akut pankreatit tanı, tedavi ve takip açısından cerrahinin hala baş etmekte zorlandığı önemli konularından birisidir. Akut pankreatitli hastaların bilgisayarlı tomografi (BT) ile değerlendirilmesi, hastalığın morbidite ve mortalitesini etkileyen en önemli faktörlerden birisi olan pankreatik nekrozu görüntülemedeki başarısı nedeniyle popülarite kazanmıştır. Son çalışmalar BT için kullanılan ajanların pankreas enflamasyonu ve nekrozuna katkıda bulunabileceğine işaret etmektedir. Ayrıca manyetik rezonans görüntüleme için verilen gadoliniumun ise pankreası görüntülemede kontrast BT ajanlarından daha güvenli olduğu ifade edilmektedir. Bu yazıda gadolinium tarafından tetiklenmiş ve/veya şiddetlenmiş bir akut pankreatit olgusu irdelendi.

🔖

Cite This Article

ERENOĞLU, C., ULUUTKU, A. H., TOP, C., AKIN, M. L., ÇELENK, T. (2007). MR ajanları akut pankreatite neden olabir mi?. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 13 - Sayı: 1, 78–79. https://ajindex.com/articles/324682

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (5)

  1. Schmidt J, Hotz HG, Foitzik T, Ryschich E, Buhr HJ, Warshaw AL, et al. Intravenous contrast medium aggravates the impairment of pancreatic microcirculation in necrotizing pancreatitis in the rat. Ann Surg 1995;221:257-64
  2. Foitzik T, Bassi DG, Schmidt J, Lewandrowski KB, Fernandez-del Castillo C, Rattner DW, et al. Intravenous contrast medium accentuates the severity of acute necrotizing pancreatitis in the rat. Gastroenterology 1994;106:207-14
  3. Werner J, Schmidt J, Warshaw AL, Gebhard MM, Herfarth C, Klar E. The relative safety of MRI contrast agent in acute necrotizing pancreatitis. Ann Surg 1998;227:105-11
  4. Schenker MP, Solomon JA, Roberts DA. Gadolinium arteriography complicated by acute pancreatitis and acute renal failure. J Vasc Interv Radiol 2001;12:393
  5. Terzi C, Sokmen S. Acute pancreatitis induced by magnetic- resonance-imaging contrast agent. Lancet 1999;354:1789-90.