Abstract
It is generally accepted that computed tomography (CT) is the best single imaging modality for the initial evaluation of patients with acute pancreatitis. It can accurately detect the disease, depict complications, assess or stage severity, and guide interventional techniques (Balthazar et al. 1994). The exact role of CT in chronic pancreatitis is less well defined, and competing modalities of endoscopic retrograde cholangiopancreatography (ERCP) and transabdominal and endoscopic sonography also are considered to be important modalities both for diagnosis of the disease and for detection of complications, morphologic staging, and precise definition of ductal anatomy.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Agarwal N, Pitchumoni C (1991) Assessment of severity in acute pancreatitis. Am J Gastroenterology 86:1385–1391
Axon A, Classen M, Cotton P et al (1984) Pancreatography in chronic pancreatitis: international definitions. Gut 25:1107–1112
Balthazar E (1989) CT diagnosis and staging of acute pancreatitis. Radiol Clin North Am 27:19-3727
Balthazar E, Ranson J, Naidich D et al (1985) Acute pancreatitis: prognostic value of CT. Radiology 156:767–772
Balthazar E, Robinson D, Megibow A, Ranson J (1990) Acute pancreatitis: value of CT in establishing prognosis. Acute pancreatitis: value of CT in establishing prognosis Radiology 174:331–336
Balthazar E, Freeny P, van Sonnenberg E (1994) Imaging and intervention in acute pancreatitis. Radiology 193:297–306
Banks P (1991) Infected necrosis: morbidity and therapeutic consequences. Hepatogastroenterology 38:116–119
Banks P, Gerzof S (1987) Indications and results of fine needle aspiration of pancreatic exudate. In: Beger H, Büchler M (eds) Acute pancreatitis. Springer, Berlin Heidelberg New York, pp 171–174
Barish M, Soto J, Ferrucci J (1997) Magnetic resonance pancreatography. Endoscopy 29:487–495
Beger H (1991) Surgery in acute pancreatitis. Hepatogastroenterology 38:92–96
Beger H, Büchler M (1986) Outcome of necrotizing pancreatitis in relation to morphological parameters. In: Malfertheiner P, Ditchuneit H (eds) Diagnostic procedures in pancreatic disease. Springer, Berlin Heidelberg New York, pp 130–132
Beger H, Maier W, Block, S, Büchler M (1986a) How do imaging methods influence the surgical strategy in acute pancreatitis? In: Malfertheiner P, Ditchuneit H (eds) Diagnostic procedures in pancreatic disease. Springer, Berlin Heidelberg New York, pp 54–60
Beger H, Bittner R, Block S, Büchler M (1986b) Bacterial contamination of pancreatic necrosis. A prospective study. Gastroenterology 91:433–438
Block S, Maier W, Bittner R et al (1986) Identification of pancreas necrosis in severe acute pancreatitis: imaging procedures versus clinical staging. Gut 27:1035–1042
Bradley E III, Murphy F, Ferguson C (1989) Prediction of pancreatic necrosis by dynamic pancreatography. Ann Surg 210:495–504
Braganza J, Hunt L, Warwick F (1982) Relationship between pancreatic exocrine function and ductal morphology. Gastroenterology 82:1341–1347
Büchler M (1991) Objectification of the severity of acute pancreatitis. Hepatogastroenterology 38:101–108
Corfield A, Williamson R, McMahon M et al (1985) Prediction of severity in acute pancreatitis: prospective comparison of three prognostic indices. Lancet 2:403–406
Deviere z et al (1994) z
Farman J, Dallemand S, Schneider M et al (1977) Pancreatic pseudo cysts involving the spleen. Gastrointest Radiol 1:339–343
Fishman E, Soyer P, Bliss D, Bluemke D, Devine N (1995) Splenic involvement in pancreatitis: spectrum of CT findings. AJR 164:631–635
Freeny P (1984) Computed tomography of the pancreas. Clin Gastroenteroll 3:791–818
Freeny P (1991) Angio-CT: diagnosis and detection of com-plications of acute pancreatitis. Hepatogastroenterology 38:109–115
Freeny P (1993) Incremental dynamic bolus computed tomography of acute pancreatitis-state-of-the-art. Int J Pancreatol 13:147–158
Freeny P, Lawson T (1982) Radiology of the pancreas. Springer, Berlin Heidelberg New York
Freeny P, Lewis G, Traverso L, Ryan J (1988) Infected pancreatic fluid collections: percutaneous catheter drainage. Radiology 167:435–441
Girdwood A, Hatfield A, Bornman P et al (1984) Structure and function in non calcific pancreatitis. Dig Dis Sci 29:721–726
Gold E, Cameron J (1993) Chronic pancreatitis and pancreatic cancer. N Engl J Med 328:1485–1486
Hill M, Barkin J, Isikoff M, Silverstein W, Kaiser M (1982) Acute pancreatitis: clinical vs. CT findings. AJR 139:263–269
Johnson C, Stephens D, Sarr M (1991) CT of acute pancreatitis: correlation between lack of contrast enhancement and pancreatic necrosis. AJR 156:93–95
Kivisaari L, Somer K, Standertskjold-Nordenstam C-G et al (1983) Early detection of acute fulminant pancreatitis by contrast-enhanced computed tomography. Scand J Gastroenterol 18:39–41
Kourtesis G, Wilson S, Williams R (1990) The clinical significance of fluid collections in acute pancreatitis. Am Surg 56:796–799
Kozarek R, Ball T, Patterson D et al (1991) Endoscopic transpapillary therapy for disrupted pancreatic duct and peripancreatic fluid collections. Gastroenterology 1362–1370
Lankisch P, Otto J, Erkelenz I, Lembcke B (1986) Pancreatic calcifications: no indicator of severe exocrine pancreatic insufficiency. Gastroenterology 90:617–621
Larvin M, Chalmers A, McMahon M (1990) Dynamic contrast enhanced computed tomography: a precise technique for identifying and localising pancreatic necrosis. Br Med J 300:1425–1428
Lilienfeld R, Lande A (1976) Pancreatic pseudo cysts presenting as thick walled renal and perinephric cysts. J Urol 115:123–125
Lippert H, Schulz H (1997) What does the surgeon need in the preoperative evaluation of chronic pancreatitis? In: Malfertheiner P, Dominguez-Munoz J, Schultz H, Lippert H (eds) Diagnostic procedures in pancreatic disease. Springer, Berlin Heidelberg New York, pp 223–230
London N, Leese T, Lavelle J et al (1991) Rapid-bolus contrast-enhanced dynamic computed tomography in acute pancreatitis: a prospective study. Br J Surg 78:1452–1456
Lowenfels A, Maisonneuve P, Calvallini G, Ammann R (1993) Pancreatitis and the risk of pancreatic cancer. N Engl J Med 328:1433–1437
Luetmer P, Stephens D, Ward E (1989) Chronic pancreatitis: reassessment with current CT. Radiology 171:353–357
MacMahon M, Playforth M, Pickford I (1980) A comparative study of methods for the prediction of te severity of attacks of acute pancreatitis. Br J Surg 67:22–25
Maier W (1987) Early objective diagnosis and staging of acute pancreatitis by contrast enhanced CT. In: Beger H, Büchler M (eds) Acute pancreatitis. Springer, Berlin Heidelberg NewYork,pp 132–140
Malfertheiner P (1986) Combined functional and morphological diagnostic approach in chronic pancreatitis. In: Malfertheiner P, Ditschuneit H (eds) Diagnostic procedures in pancreatic disease. Springer, Berlin Heidelberg New York, pp 262–267
Malfertheiner P, Büchler M} (1989) Correlation of imaging and function in chronic pancreatitis. Radiol Clin North Am 27:51–64
Malfertheiner P, Büchler M, Stanescu A (1986) Correlation of morphological lesions, functional changes, and clinical stages in chronic pancreatitis. In: Malfertheiner P, Ditschuneit H (eds) Diagnostic procedures in pancreatic disease. Springer, Berlin Heidelberg New York, pp 268–273
Mendez G, Isikoff M (1979) Significance of intrapancreatic gas, demonstrated by CT: a review of nine cases. AJR 132:59–62
Rohrmann C, Baron R (1989) Biliary complications of pancreatitis. Radiol Clin North Am 27:93–104
Safrit H, Rice R (1989) Gastrointestinal complications of pancreatitis. Radiol Clin North Am 27:73–79
Sarner M, Cotton P (1984) Definitions of acute and chronic pancreatitis. Clin Gastroenterol 13:865–870
Steer M, Waxman I, Freedman S (1995) Chronic pancreatitis. N Engl J Med 332:1482–1490
van Sonnenberg E, Wittich G, Casola G et al (1989) Percutaneous drainage of infected and noninfected pancreatic pseudocysts: experience in 101 cases. Radiology 170:757–761
Vujic I (1989) Vascular complications of pancreatitis. Radiol Clin North Am 27:81–91
Vujic I, Anderson B, Stanley J, Gobien R (1984) Pancreatic and peripancreatic vessels: embolization for control of bleeding in pancreatitis. Radiology 150:51–55
Waltman A, Luers P, Athanasoulis C, Warshaw A (1986) Massive arterial hemorrhage in patients with pancreatitis. Complementary roles of surgery and transcatheter occlusive techniques. Arch Surg 121:439–443
Wilson C, Heath D, Imrie C (1990) Prediction of outcome in acute pancreatitis: a comparative study of APACHE II, clinical assessment and multiple factor scoring systems. Br J Surg 77:1260–1264
Winter T, Ager J, Nghiem H et al (1996) Upper gastrointestinal tract and abdomen: water as an orally administered contrast agent for CT. Radiology 201:365–370
Yeo C, Bastidas J, Lynch-Nyhan A et al (1990) The natural history of pancreatic pseudo cysts documented by computed tomography. Surg Gynecol Obstet 170:411–417
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2000 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Freeny, P. (2000). Helical CT of Acute and Chronic Pancreatitis. In: Terrier, F., Grossholz, M., Becker, C.D. (eds) Spiral CT of the Abdomen. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-56976-0_20
Download citation
DOI: https://doi.org/10.1007/978-3-642-56976-0_20
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-42291-4
Online ISBN: 978-3-642-56976-0
eBook Packages: Springer Book Archive