ArticleGE Portuguese journal of gastroenterology2019
Prediction of Self-Limited Acute Pancreatitis Cases at Admission to Emergency Unit.
Article in GE Portuguese journal of gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Nurse-Led Care at Home Visit Versus Standard Care in Patients with Mild Acute Pancreatitis: A Retrospective Analysis.Digestive diseases and sciences · 2024Article
- Article
- Interventional strategies in infected necrotizing pancreatitis: Indications, timing, and outcomes.World journal of gastroenterology · 2022Review
- Is there a correlation between the initial calcium level and Balthazar classification in patients with acute pancreatitis?Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2022Article
- C-Reactive Protein as a Predictor of Complicated Acute Pancreatitis: Reality or a Myth?Cureus · 2021Article
- Optimal timing of contrast-enhanced computed tomography in an evaluation of severe acute pancreatitis-associated complications.Experimental and therapeutic medicine · 2019Article
- Predicting Severity in Acute Pancreatitis: A Never-Ending Quest….GE Portuguese journal of gastroenterology · 2019Article
- Acute peripancreatic fluid collection in acute pancreatitis: Incidence, outcome, and association with inflammatory markers.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology AssociationArticle
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhile acute pancreatitis (AP) resolves spontaneously with supportive treatment in most patients, it may be life-threatening. Predicting the disease severity at onset dictates the management strategy. We aimed to define the patients with mild pancreatitis who may be considered for outpatient management with significant cost-savings. MATERIALS AND
methodsThis prospective observational study included 180 patients with mild AP according to the harmless acute pancreatitis score (HAPS) and Imrie score. The relationships of biochemical parameters with the changes in the Balthazar score and clinical course were examined.
resultsThe study included 180 patients (111 females, 69 males; mean age: 53.9 ± 17.2 years; range: 17-92 years). The etiology was biliary in 118 (65%) patients and remained undetermined in 38 (21.1%) patients. Computed tomography (CT) performed within the first 12 h revealed mild and moderate AP in 159 (88.3%) and 21 (11.7%) patients, respectively. CT repeated at 72 h revealed mild, moderate, and severe AP in 155 (86.1%), 24 (13.3%), and 1 (0.6%) patients, respectively. Comparisons between stages A + B + C and D + E showed significant differences in the amylase levels on day 1 and 3, and in C-reactive protein on day 3. Also, in stage D and E disease, narcotic analgesic intake, oral intake onset time, and pain were significantly higher.
conclusionThere were no significant changes in the CT findings of patients with mild AP at 12 and 72 h. Most patients (
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