Pancreatitis Prognosis Criteria is used to assess the severity and prognosis of acute pancreatitis. The criteria References. Ranson JH, Rifkind KM, Turner JW. Early prediction of acute pancreatitis: prospective study comparing computed tomography scans, Ranson, Glascow, Acute Physiology and. Escala Glasgow menor o igual a 6 (en ausencia de Blamey Numero de factores presentes Porcentaje de Pancreatitis Aguda Biliar 0 5 1 4 2 55 y auxiliares que se correlacionan con los criterios de Ranson.

Author: Tojak Sharamar
Country: Congo
Language: English (Spanish)
Genre: Personal Growth
Published (Last): 16 June 2004
Pages: 367
PDF File Size: 17.34 Mb
ePub File Size: 18.43 Mb
ISBN: 921-2-43407-634-3
Downloads: 58667
Price: Free* [*Free Regsitration Required]
Uploader: Daizragore

Ranson’s publications, visit PubMed. Prognostic signs and the role of operative management in acute pancreatitis. It must be pointed out that the optimal time to perform the tomographic study is 48 to 72 hours after the symptomatology has begun.

There were included patients of any gender above the age of 18, with diagnosis of acute pancreatitis of any etiology, who had performed an abdominal tomography 72 hours after the beginning of the clinical condition in order to stage the pancreatic damage.

Management Helps determine the disposition of the patient, with a higher score corresponding to a higher level of care. A critical evaluation of laboratory tests in acute pancreatitis. The number of patients of this study does not allow us to conclude in a categorical way the absence of correlation between the tomographic Balthazar finds and the clinical and biochemical scales previously mentioned, how-ever it encourages us to carry on with this research.

Formula Addition of the assigned points. Until the present day esccala are few studies in literature that try to correlate these differences, this is why we have focused on the performance of a study in our hospital, trying to observe how frequent is the discrepancy between the severity degree and the tomographic finds according to the Balthazar classification. The previous statement was carried out in all of our patients.

Of this 65 patients, 28 panxreatitis the criteria of inclusion, the rest of the patients were excluded because either they had slight pancreatitis, didn’t count with tomographic evaluation or were monitored on external consult. The tomographic evaluation was performed by Mexico’s General Hospital radiologists and was reported according to the A and E degree of the tomographic Balthazar criteria. Services of 3 Internal Medicine and 4 Clinical Nutrition.

Escaoa Med Int Med Crit ; 1: This maybe explained because it is a third level concentration center in which most of the AP patients are looked after in second level centers, therefore our results cannot be extrapolated to the population in general; it would be pancrewtitis to perform this analysis on these kind of attention centers.


Discussion On this dd we found that in our hospital service we have a low frequency of the disease. Peritoneum Diagnostic peritoneal lavage Intraperitoneal injection Laparoscopy Omentopexy Paracentesis Peritoneal dialysis.

Until this moment, there are needed higher prospective and multi-centric studies that correlate the tomographic with the clinical and biochemical scales.

Ranson criteria

Within them, the measurement of reactive C protein must be taken into account. To save favorites, you must log in.

Introduction The acute pancreatitis AP keeps on being one of the gastrointestinal pancreaatitis with more incidence and that can unchain a significative mortality.

Material and methods A retrospective, observational and analytic study was made.

Ranson criteria – Wikipedia

About the Creator Dr. As it is pointed in some studies, the APACHE-II scale at the moment of admission is not to be trusted to neither diagnose pancreatic necrosis nor severe pancreatitis The correlation coefficients for the Balthazar scale were: Appendicectomy Colectomy Colonic polypectomy Colostomy Hartmann’s operation.

It has been proved that the free intraperitoneal fluid and peripancreatic fat finds are associated with worse results Artificial extracorporeal liver support Bioartificial liver devices Liver dialysis Hepatectomy Liver biopsy Liver transplantation Portal hypertension Transjugular intrahepatic portosystemic shunt [TIPS] Distal splenorenal shunt procedure.

The SPSS version It was not possible on our second study to pancreatitls it on all of the patients, but in a posterior study it would be of great importance to correlate these parameters in pancdeatitis to look for a better indicator to make the decision of performing or not a tomographic study in patients with slight AP.

Ds to the Ce tomographic degree and the AP severity of clinical and biochemical criteria, of the patients that were classified within slight disease, none was classified within the A Balthazar degree, It can be suggested that there does not exist a statistically meaningful correlation between the APACHE-II scale of seriousness and the advanced Balthazar degrees due to the report of a poor correlation between Pearson and Spearman’s, therefore it is likely to find very ill patients with an A or B Balthazar and on the ransno hand patients with slight acute pancreatitis with D o E Balthazar.


Consensus on the diagnosis and treatment of acute pancreatitis. In order to see the staging of pancreatic damage, these patients had performed an abdominal tomography 72 hours after the beginning of the symptoms.

N Engl J Med. Med treatment and more Treatment. About the Creator John H. The data are presented in summary measurements: Subcategory of ‘Diagnosis’ designed to be very sensitive Rule Out. The main etiology was due to alcohol in 15 patients The computed tomography CT is recommended as the standard image diagnosis method for AP Results During the research period, there was an admission of 1, patients to the Gastroenterology Service of Mexico’s General Hospital, in which 65 4.

Am Gastroenterol ; Calculated on admission, and at 48 hours, to estimate mortality from pancreatitis. Concerning the hematocrit value, 57 and During the daily clinical practice we often watch that the different severity scales have certain discrepancies. Esophagogastroduodenoscopy Barium swallow Upper gastrointestinal series. There exist few studies that correlate these parameters. Am Fam Physician ; Helps determine the disposition of the patient, with a higher score corresponding to a higher pancreatifis of care.

Practice guidelines in acute pancreatitis. Pancreatic disease group, Chinese society of gastroenterology and Chinese medical association. Therefore, to have or not an advanced Balthazar does not necessarily represent a serious pancreatic disease or a systemic inflammatory response, and on the other hand to have a slight disease by means of clinical and biochemical criteria does not mean a lower degree on the tomographic Balthazar classification.

This page was last edited on 13 Octoberat To all the Gastroenterology medical staff of Mexico’s General Hospital for their invaluable support. The Sperman coefficients of correlation were calculated in order to associate the different scales.

The previous statement takes relevance due to the fact that our study points out that there is no correlation between the Balthazar degree and the hematocrit level, therefore it is essential to perform the CT in order to point out advanced degrees of Balthazar with necrosis, independently of the hematocrit level and the Ranson and Esvala scales.