Korean J Gastroenterol.  2000 Jul;36(1):93-98.

The Correlation between Computed Tomography Grade and Prognostic Factors in Acute Pancreatitis

• Lee SW
• Noh MH
• Lee JH
• Park GW
• Shin JM
• Han SY
• Choi SR
• Shin WW

Abstract

BACKGROUND/AIMS
There are many different biochemical methods to evaluate the severity of acute pancreatitis. Recently, computed tomography (CT) grade was introduced as an, useful method. In this study, we examined the correlation between CT grade and clinical factors of acute pancreatitis including various biochemical tests, etiology, and duration of admission. METHODS: We evaluated prospectively 26 patients with acute pancreatitis who were diagnosed by blood test and symptoms. They underwent CT within 72 hours after admission. We evaluated the severity of acute pancreatitis with Ranson score, the levels of C-reactive protein (CRP), lactate dehydrogenase, amylase, lipase and CT grade. RESULTS: There was a statistical significanct correlation between duration of admission and CT grade, Ranson score, and the level of CRP (p<0.05). The correlation index was 0.31 between CT grade and Ranson score (p>0.05) and 0.67 between CT grade and CRP (p<0.05). CONCLUSIONS: CT grade, Ranson score, and CRP were useful in evaluating the severity of acute pancreatitis. Moreover, there was a statistical significant correlation between CT grade and CRP.

Keyword

Acute pancreatitis; CT grade; Prognostic factors

MeSH Terms

Amylases
C-Reactive Protein
Hematologic Tests
Humans
L-Lactate Dehydrogenase
Lipase
Pancreatitis*
Prospective Studies
Amylases
C-Reactive Protein
L-Lactate Dehydrogenase
Lipase