The American Journal of Surgery
Volume 194, Issue 1 , Pages 30-34 , July 2007

Computed tomography severity index and C-reactive protein values predicting mortality in emergency and intensive care units for patients with severe acute pancreatitis

  • Jyrki T. Mäkelä, M.D., Ph.D.

      Affiliations

    • Department of Surgery, Division of Gastroenterology, PO Box 5000, 90014 University of Oulu, Oulu, Finland
    • Corresponding Author InformationCorresponding author. Tel.: +358-8-315-2259; fax: +358-8-315-5318.
    • ,
  • Heinonen Eila, M.D.

      Affiliations

    • Department of Surgery, Division of Gastroenterology, PO Box 5000, 90014 University of Oulu, Oulu, Finland
    • ,
  • Heikki Kiviniemi, M.D., Ph.D.

      Affiliations

    • Department of Surgery, Division of Gastroenterology, PO Box 5000, 90014 University of Oulu, Oulu, Finland
    • ,
  • Jouko Laurila, M.D.

      Affiliations

    • Department of Anaesthesiology, University of Oulu, Kajaanintie 50, 90230 Oulu, Finland
    • ,
  • Seppo Laitinen, M.D., Ph.D.

      Affiliations

    • Department of Surgery, Division of Gastroenterology, PO Box 5000, 90014 University of Oulu, Oulu, Finland

Received 8 February 2006 ,Revised 16 August 2006

References 

  1. Nathens AB, Curtis JR, Beale RJ, et al. Management of the critically ill patient with severe acute pancreatitis. Crit Care Med. 2004;32:2524–2536
  2. Steinberg W, Tenner S. Acute pancreatitis. N Engl J Med. 1994;330:1198–1210
  3. Bank S, Singh P, Pooran N, Stark B. Evaluation of factors that have reduced mortality from acute pancreatitis over past 20 years. J Clin Gastroenterol. 2002;35:50–60
  4. Liu TH, Kwong KL, Tamm EP, et al. Acute pancreatitis in intensive care unit patients: value of clinical and radiologic prognosticators at predicting clinical course and outcome. Crit Care Med. 2003;31:1026–1030
  5. UK Working Party on Acute Pancreatitis. UK guidelines for the management of acute pancreatitis. Gut. 2005;54(suppl 3):iii1–iii9
  6. Ranson JHC, Rifkind KM, Roses DF, et al. Prognostic signs and the role of operative management in acute pancreatitis. Surg Gynecol Obstet. 1974;139:69–81
  7. Knaus WA, Draper EA, Wagner DP, Zimmermann JE. APACHE II: a severity of disease classification system. Crit Care Med. 1985;13:818–829
  8. Larvin M, McMahon M. APACHE-II score for assessment and monitoring of acute pancreatitis. Lancet. 1989;334:201–204
  9. Balthazar EJ, Freeny PC, van Sonnenberg E. Imaging and intervention in acute pancreatitis. Radiology. 1994;193:297–306
  10. Slavin J, Ghaneh P, Sutton R, et al. Management of necrotizing pancreatitis. World J Gastroenterol. 2001;7:476–481
  11. Megener K, Baillie J. Fortnightly review: acute pancreatitis. BMJ. 1998;316:44–48
  12. Renzulli P, Jakob SM, Tauber M, et al. Severe acute pancreatitis: case-oriented discussion of interdisciplinary management. Pancreatology. 2005;5:145–146
  13. Raraty MG, Connor S, Criddle DN, et al. Acute pancreatitis and organ failures: pathophysiology, natural history, and management. Curr Gastroenterol Rep. 2004;6:99–103
  14. Isenmann R, Rau B, Beger HG. Early severe acute pancreatitis: characteristics of a new subgroup. Pancreas. 2001;22:274–278
  15. Mayerle J, Simon P, Lerch MM. Medical treatment of acute pancreatitis. Gastroenterol Clin North Am. 2004;33:855–869
  16. Balthasar EJ. Acute pancreatitis: assessment of severity and clinical and CT evaluation. Radiology. 2002;223:603–613
  17. Lankisch PG, Struckmann K, Assmus C, et al. Do we need a computed tomography in all patients with acute pancreatitis within 72 h after admission to hospital for the detection of pancreatic necrosis. Scand J Gastroenterol. 2001;36:432–6
  18. Werner J, Uhl W, Buchler MW. Surgical treatment of acute panceatitis. Curr Treat Options Gastroenterol. 2003;6:359–367
  19. Nordback I, Sand J, Saaristo R, Paajanen H. Early treatment with antibiotics reduces the need for surgery in acute necrotizing pancreatitis—a single center randomized study. J Gastroenterol Surg. 2001;5:113–118
  20. Uhl W, Warshaw A, Imrie C, et al. International Association of Pancreatology IAP guidelines for surgical management of acute pancreatitis. Pancreatology. 2002;2:565–573
  21. Alakokko TI, Tieranta N, Laurila J, Syrjälä H. Determinants of ICU mortality in necrotizing pancreatitis: the influence of Staphylococcus epidermidis. Acta Anaesthesiol Scand. 2001;45:853–857
  22. LeMee J, Paye F, Sauvanet A, et al. Incidence and reversibility of organ failure in the course of sterile or infected necrotizing pancreatitis. Arch Surg. 2001;136:1386–1390
  23. Runzi M, Niebel W, Goebell H, et al. Severe acute pancreatitis: nonsurgical treatment of infected necroses. Pancreas. 2005;30:195–199

PII: S0002-9610(07)00247-4

doi: 10.1016/j.amjsurg.2006.08.089

The American Journal of Surgery
Volume 194, Issue 1 , Pages 30-34 , July 2007

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