Angiographic Features in Acute Pancreatitis: The Severity of Abdominal Vessel Ischemic Change Reflects the Severity of Acute Pancreatitis

(Journal Article): Angiographic Features in Acute Pancreatitis: The Severity of Abdominal Vessel Ischemic Change Reflects the Severity of Acute Pancreatitis

Inoue K, Hirota M, Beppu T, Ishiko T, Kimura Y, Maeda K, Ogawa M (Department of Surgery II, Kumamoto University Medical School. Kumamoto, Japan, mhirota@kaiju.medic.kumamoto-u.ac.jp )

IN: JOP. J Pancreas (Online) 2003; 04(6):207-213

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ABSTRACT: CONTEXT: Assessment of tissue microcirculation is one of the important aspects of pathological evaluation in acute pancreatitis. Severe ischemic change sometimes leads to the development of organ dysfunction and/or infectious complications. OBJECTIVE: To evaluate the angiographic features of acute pancreatitis and correlate them with the severity of the disease. DESIGN: Retrospective study. PATIENTS: Twenty-seven consecutive patients with acute pancreatitis who had undergone angiography were retrospectively investigated. MAIN OUTCOME MEASURES: Vascular findings and Ranson score. RESULTS: Ischemic changes were found in 18 patients (66.7%); 11 (40.7%) were severe changes. Pseudoaneurysm, bleeding, and staining were seen in 4 (14.8%), 2 (7.4%) and 5 (18.5%) patients, respectively. The rate of severe ischemic changes was significantly correlated with the Ranson score (P=0.012). Conclusions Angiographic findings are useful for the evaluation of severe acute pancreatitis.

TYPE OF PUBLICATION: Original Article

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