Thus it is not surprising that questions have been raised about the completeness of the RAC. Remarkably, a CT performed 6 months after surgery showed a normal pancreas. A pseudocyst requires 4 or more weeks to develop. Most of them have no fluid collections and no necrosis. The optimal interventional strategy for patients with suspected or confirmed infected necrotizing pancreatitis is initial image-guided percutaneous retroperitoneal driterios drainage or endoscopic transluminal drainage, followed, if necessary, by endoscopic or surgical necrosectomy.
|Published (Last):||28 April 2011|
|PDF File Size:||4.17 Mb|
|ePub File Size:||10.61 Mb|
|Price:||Free* [*Free Regsitration Required]|
Epub Oct Classification of acute pancreatitis revision of the Atlanta classification and definitions by international consensus. Comment in Gut. Deficiencies identified and improved understanding of the disease make a revision necessary.
After an initial meeting, the Working Group sent a draft document to 11 national and international pancreatic associations. This working draft was forwarded to all members.
Revisions were made in response to comments, and the web-based consultation was repeated three times. The final consensus was reviewed, and only statements based on published evidence were retained.
Severity is classified as mild, moderate or severe. Mild acute pancreatitis, the most common form, has no organ failure, local or systemic complications and usually resolves in the first week. Moderately severe acute pancreatitis is defined by the presence of transient organ failure, local complications or exacerbation of co-morbid disease.
Local complications are peripancreatic fluid collections, pancreatic and peripancreatic necrosis sterile or infected , pseudocyst and walled-off necrosis sterile or infected.
We present a standardised template for reporting CT images. The wide consultation among pancreatologists to reach this consensus should encourage widespread adoption.
CRITERIOS DE ATLANTA PANCREATITIS 2012 PDF