Acute pancreatitis: is early CT necessary?

Acute pancreatitis: is early CT necessary? Eur J Trauma Emerg Surg (2017) 43:883–884 DOI 10.1007/s00068-017-0843-1 LETTER TO THE EDITOR 1 2 A. C. Ariffin  · H. Ngadiron   Received: 19 June 2017 / Accepted: 14 September 2017 / Published online: 21 September 2017 © Springer-Verlag GmbH Germany 2017 Dear Editor, to be redundant. A study by Shinagare et al. showed 87.1% cases of AP could have been diagnosed without imaging I read with great interest the article by Karagoz et al. [1]. based on clinical symptoms and elevated laboratory works This is an interesting method in determining the competency with 94.9% were only mild pancreatitis. This study also and train new emergency physicians in identifying acute showed only 1% of those AP cases had pancreatic necrosis pancreatitis (AP) using computed tomography of abdomen in early imaging [3]. Another multicenter trial by the Dutch (CT). showed that 89% of AP presented to the emergency depart- However, there are few issues I would like to add regard- ment only had mild pancreatitis with none of those early CT ing this matter. Before that, it is important to understand develop necrosis [4]. An even larger population study of 252 the indication and the role of such imaging in AP. AP is a patients revealed only European Journal of Trauma and Emergency Surgery Springer Journals

Acute pancreatitis: is early CT necessary?

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Springer Berlin Heidelberg
Copyright © 2017 by Springer-Verlag GmbH Germany
Medicine & Public Health; Traumatic Surgery; Surgical Orthopedics; Emergency Medicine; Sports Medicine; Intensive / Critical Care Medicine; Surgery
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