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Journals / Turkish Journal of Medical Sciences / 2021 / Cilt: 51 - Sayı: 2

The prognostic value of fat necrosis deposits on CT imaging in acute pancreatitis

Şehnaz EVRİMLER
Adnan KARAİBRAHİMOĞLU
Mustafa KAYAN
Münteha ÇAKMAKÇI
Pages
749–756
Publication Date
2022-11-06
DOI
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AI Summary & Key Takeaways

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

Conclusion: FND-CTSI can be used in acute pancreatitis grading and considered as a prognostic factor.Key words: Computerized tomography, fat necrosis, pancreatitis

📌 3 Key Takeaways

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Objective & Hypothesis:Background/aim: Investigate the prognostic value of the fat necrosis deposit (FND) pattern in acute pancreatitis.
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Key Findings & Data:Materials and methods: The contrast-enhanced computed tomography (CT) images of 35 necrotizing pancreatitis (NP) and 51 edematous pancreatitis (EP) cases were included in our retrospective study.
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Conclusion & Impact:Conclusion: FND-CTSI can be used in acute pancreatitis grading and considered as a prognostic factor.Key words: Computerized tomography, fat necrosis, pancreatitis
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Background/aim: Investigate the prognostic value of the fat necrosis deposit (FND) pattern in acute pancreatitis. Materials and methods: The contrast-enhanced computed tomography (CT) images of 35 necrotizing pancreatitis (NP) and 51 edematous pancreatitis (EP) cases were included in our retrospective study. Computed tomography severity index (CTSI) and Ranson scores were calculated. Images were evaluated for FND, complications (infection/ hemorrhage), walled-off necrosis (WON), and venous thrombosis (VT). We developed a new grading system called fat necrosis deposit-CTSI (FND-CTSI), which was the sum of FND and CTSI scores. The relationship between grading systems and mortality, length of hospital-intensive care unit stay, surgical and percutaneous interventions were evaluated. Results: FND-CTSI scores were significantly higher in NP than EP (P 0.05). According to ROC analysis, AUC values of FND-CTSI were higher than CTSI for the detection of WON, complications, mortality, and percutaneous intervention (P < 0.05). FND-CTSI showed a highly significant correlation with the length of hospital and intensive care unit stays (P < 0.001). Conclusion: FND-CTSI can be used in acute pancreatitis grading and considered as a prognostic factor.Key words: Computerized tomography, fat necrosis, pancreatitis

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Cite This Article

EVRİMLER, Ş., KARAİBRAHİMOĞLU, A., KAYAN, M., ÇAKMAKÇI, M. (2022). The prognostic value of fat necrosis deposits on CT imaging in acute pancreatitis. Turkish Journal of Medical Sciences, Cilt: 51 - Sayı: 2, 749–756. https://ajindex.com/articles/609845

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References (1)

  1. Spanier BM, Bruno MJ, Dijkgraaf MG. Incidence and mortality of acute and chronic pancreatitis in the Netherlands: a nationwide record-linked cohort study for the years 1995-2005. World Journal of Gastroenterology 2013; 19 (20): 3018. doi: 10.1159/000243731 2. Vidarsdottir H, Möller PH, Vidarsdottir H, Thorarinsdottir H, Björnsson ES. Acute pancreatitis: a prospective study on incidence, etiology, and outcome. European Journal of Gastroenterology & Hepatology 2013; 25 (9): 1068-1075. doi: 10.1097/MEG.0b013e3283640fc8 3. Yadav D, Lowenfels AB. Trends in the epidemiology of the first attack of acute pancreatitis: a systematic review. Pancreas 2006; 33 (4): 323-330. doi: 10.1097/01.mpa.0000236733.31617.52 4. Ranson J. Prognostic signs and the role of operative management in acute pancreatitis. Surgery Gynecology and Obstetrics 1974; 139: 69-81. 5. Larvin M, Mcmahon M. APACHE-II score for assessment and monitoring of acute pancreatitis. Lancet 1989; 334 (8656): 201-205. doi: 10.1016/s0140-6736(89)90381-4 6. Balthazar EJ, Robinson DL, Megibow AJ, Ranson J. Acute pancreatitis: value of CT in establishing prognosis. Radiology 1990; 174 (2): 331-336. doi: 10.1148/radiology.174.2.2296641 7. Mortele KJ, Wiesner W, Intriere L, Shankar S, Zou KH et al. A modified CT severity index for evaluating acute pancreatitis: improved correlation with patient outcome. American Journal of Roentgenology 2004; 183 (5): 1261-1265. doi: 10.2214/ ajr.183.5.1831261 8. Thoeni RF. The revised Atlanta classification of acute pancreatitis: its importance for the radiologist and its effect on treatment. Radiology 2012; 262 (3): 751-764. doi: 10.1148/ radiol.11110947 9. Madry S, Fromm D. Infected retroperitoneal fat necrosis associated with acute pancreatitis. Journal of the American College of Surgeons 1994; 178 (3): 277-282. 10. Lee PC HJ. Fat necrosis. Surgery Gynecology and Obstetrics 1979; 148: 785-789. 11. Sakorafas GH, Tsiotos GG, Sarr MG. Extrapancreatic necrotizing pancreatitis with viable pancreas: a previously under-appreciated entity. Journal of the American College of Surgeons 1999; 188(6): 643-648. doi: 10.1016/s1072- 7515(99)00045-9 12. Haynes JW, Brewer WH, Walsh JW. Focal fat necrosis presenting as a palpable abdominal mass: CT evaluation. Journal of Computer Assisted Tomography 1985; 9 (3): 568-569. 13. Pedrosa I, Naidich JJ, Rofsky NM, Bosniak MA. Renal pseudotumors due to fat necrosis in acute pancreatitis. Journal of Computer Assisted Tomography 2001; 25 (2): 236-238.