Usefulness of scheduled follow-up CT in discharged patients with acute pancreatitis
- Authors
- Cho, Jeong Hyeon; Choi, Ja Sung; Hwang, Eui Tae; Park, Ji Young; Jeon, Tae Joo; Kim, Hee Man; Cho, Jae Hee
- Issue Date
- Nov-2015
- Publisher
- KARGER
- Keywords
- Acute pancreatitis; Computed tomography; Follow-up; Prognosis; Complications; Severity
- Citation
- PANCREATOLOGY, v.15, no.6, pp.642 - 646
- Journal Title
- PANCREATOLOGY
- Volume
- 15
- Number
- 6
- Start Page
- 642
- End Page
- 646
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/10005
- DOI
- 10.1016/j.pan.2015.09.004
- ISSN
- 1424-3903
- Abstract
- Background and aim: Follow-up computed tomography (CT) in patients with acute pancreatitis has been advocated but rarely studied. The aim of this study was to determine whether follow-up CT for acute pancreatitis might be helpful in establishing the prognosis or complications, and in determining a selected subgroup of patients for whom computed tomography could be beneficial. Methods: Between January 2010 and December 2012, patients with acute pancreatitis who underwent follow-up CT in the outpatient department between one and three months after discharge were retrospectively enrolled. Events discovered on follow-up CT were defined as newly developed or increased pancreatic collection such as pseudocyst or walled off necrosis, and diagnosis of pancreatic cancer. Results: Ultimately, 106 asymptomatic patients were enrolled (mean age 50.24 +/- 16, 74.5% male, 31.1% moderately severe and severe acute pancreatitis). The median duration of follow-up CT was 69 (31-90) days. On follow-up CT, 23 patients showed events (2 pancreatic cancer, 21 increasing or developed pancreatic collections). In multivariate analysis, the predictive factors for events on follow-up CT were CTSI >= 3 (OR 4.46, CI 1.08-18.43, p = 0.039) and BISAP >= 2 (OR 4.83, CI 1.08-21.55, p = 0.039). Conclusions: Follow-up CT within three months after discharge may be helpful for acute pancreatitis patients with CTSI >= 3 points or BISAP score >= 2 points. Copyright (C) 2015, IAP and EPC. Published by Elsevier India, a division of Reed Elsevier India Pvt. Ltd. All rights reserved.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - 의과대학 > 의학과 > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/10005)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.