Eur J Trauma Emerg Surg (2017) 43:885
LETTER TO THE EDITOR
The ability of emergency physicians to diagnose and score acute
pancreatitis on computed tomography: authors’ response
· E. E. Ünlüer
Received: 7 September 2017 / Accepted: 16 September 2017 / Published online: 16 October 2017
© Springer-Verlag GmbH Germany 2017
routinely encountered in a scientiﬁc way and see that our
interpretations made by EPs are suﬃcient or not in our arti-
cle. The indications for early CECT are beyond the topic of
Compliance with ethical standards
Conﬂict of interest All of the authors declare that the manuscript, as
submitted or its essence in another version, is not under consideration
for publication elsewhere, and will not be published elsewhere while
under consideration by European Journal of Trauma and Emergency
Surgery. All authors have made substantive contributions to the study,
and all authors endorse the data and conclusions. A single study is
not split up into several parts to increase the quantity of submissions
and submitted to various journals or to one journal over time. No data
have been fabricated or manipulated (including images) to support our
conclusions. No data, text, or theories by others are presented as if they
were the authors’ own.
1. Ariﬃn AC, Ngadiron H. Acute pancreatitis: is early CT necessary?
Eur J Trauma Emerg Surg. 2017. doi:10.1007/s00068-017-0843-1.
2. Karagöz A, Ünlüer EE, Oyar O, Topal FE, Topal F. The abil-
ity of emergency physicians to diagnose and score acute pan-
creatitis on computed tomography. Eur J Trauma Emerg Surg.
3. Tenner S, Bailie J, DeWitt J, Vege SS. American College of
Gastroenterology. American College of Gastroenterology guide-
line: management of acute pancreatitis. Am J Gastroenterol.
4. Papachristou GI, Clermont G, Sharma A, Yadav D, Whitcomb
DC. Risk and markers of severe acute pancreatitis. Gastroenterol
Clin N Am. 2007;36:277–96.
I read the letter from A.C. Ariﬃn et al. with great interest.
Thanks for their interest in our article. As they mentioned
in their letter, positive ﬁndings for acute pancreatitis (AP)
on computed tomography (CT) is one of the three diagnos-
tic criteria for AP . So, CT is still an important imaging
modality for the diagnosis of AP.
We have also mentioned in our article that American Col-
lege of Gastroenterology (ACG) guidelines do not recom-
mend the routine use of contrast-enhanced CT (CECT) in
patients with AP and recommends the use of CECT for the
patients for whom the diagnosis is unclear or who fail to
improve clinically within the ﬁrst 48–72 h of admission [2,
3], but as diﬀerent studies have noted and we have faced in
our clinical daily routine, the majority of patients underwent
CECT in the emergency department (ED) or within 24 h
of admission [3, 4]. Most of the CECTs are interpreted by
Emergency Physicians (EPs) initially in our ED especially
in nightshifts. We aimed to evaluate this problem that we
This is a reply to a Letter to the Editor available here:
This reply and the corresponding Letter to the Editor refer to the
article available at doi:10.1007/s00068-016-0743-9.
* A. Karagöz
E. E. Ünlüer
Department of Emergency Medicine, İzmir Çiğli Training
Hospital, 35620 Çiğli/izmir, Turkey
Department of Emergency Medicine, Faculty of Medicine,
Uşak University, 64000 Uşak, Turkey