Beyond the revised atlanta classification: a comprehensive review of the imaging assessment of acute pancreatitis and its complications.

Autor: Chagas LA; Department of Radiology, Hospital Samaritano Higienópolis, Rua Conselheiro Brotero, 1486 - Higienópolis, São Paulo, SP, 01232010, Brazil. luciachagas.3@gmail.com., Albuquerque KS; Department of Radiology, Hospital Samaritano Higienópolis, Rua Conselheiro Brotero, 1486 - Higienópolis, São Paulo, SP, 01232010, Brazil., Soares LE; Department of Radiology, Cardiology Institute - Fundação Universitária de Cardiologia (ICFUC), 395 Av. Princesa Isabel, Porto Alegre, RS, Brazil., Machado DC; Department of Radiology, Hospital Samaritano Higienópolis, Rua Conselheiro Brotero, 1486 - Higienópolis, São Paulo, SP, 01232010, Brazil., De Moraes Antunes P; Department of Radiology, Hospital Vitoria, Av Jorge Curi, 550 - Barra da Tijuca, Rio de Janieiro, RJ, 22775001, Brazil., Stern JJ; Department of Radiology, Hospital Vitoria, Av Jorge Curi, 550 - Barra da Tijuca, Rio de Janieiro, RJ, 22775001, Brazil., Dos Santos Romão D; Department of Radiology, Hospital Samaritano Higienópolis, Rua Conselheiro Brotero, 1486 - Higienópolis, São Paulo, SP, 01232010, Brazil., Morais E Rodrigues da Cunha Fonseca B; Department of Radiology, Hospital Samaritano Higienópolis, Rua Conselheiro Brotero, 1486 - Higienópolis, São Paulo, SP, 01232010, Brazil., Horvat N; Department of Radiology, Memorial Sloan Kettering Cancer Center, 1275 York Ave, New York, NY, 10065, USA.; Department of Radiology, University of Sao Paulo, Rua 1. Cerqueira César, São Paulo, SP, 05402-000, Brazil.
Jazyk: angličtina
Zdroj: Abdominal radiology (New York) [Abdom Radiol (NY)] 2024 Jul 02. Date of Electronic Publication: 2024 Jul 02.
DOI: 10.1007/s00261-024-04425-2
Abstrakt: While the Revised Atlanta Classification outlines the primary complications of acute pancreatitis, it is crucial to recognize additional factors that contribute to morbidity and mortality associated with acute pancreatitis. In this review, we discuss the imaging-based classification and staging of acute pancreatitis as described by the Revised Atlanta Classification, but also provide a comprehensive understanding of the pancreatic anatomy and its relation to surrounding structures, which is essential for imaging-based assessment of both acute pancreatitis and its complications. We further extend the discussion beyond common complications such as pseudocysts and walled-off necrosis to include lesser-known but significant complications such as peripancreatic infection, disconnected ductal disconnection syndrome, thrombosis, hemorrhage, and gastrointestinal complications. Additionally, illustrative examples are presented to highlight relevant points pertaining to real-life imaging assessment of acute pancreatitis and its complications.
(© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
Externí odkaz: