The ability of emergency physicians to diagnose and score acute pancreatitis on computed tomography: authors’ response

The ability of emergency physicians to diagnose and score acute pancreatitis on computed... Eur J Trauma Emerg Surg (2017) 43:885 DOI 10.1007/s00068-017-0845-z LETTER TO THE EDITOR The ability of emergency physicians to diagnose and score acute pancreatitis on computed tomography: authors’ response 1 2 A. Karagöz  · E. E. Ünlüer   Received: 7 September 2017 / Accepted: 16 September 2017 / Published online: 16 October 2017 © Springer-Verlag GmbH Germany 2017 Dear Editor, routinely encountered in a scientific way and see that our interpretations made by EPs are sufficient or not in our arti- I read the letter from A.C. Ariffin et al. with great interest. cle. The indications for early CECT are beyond the topic of Thanks for their interest in our article. As they mentioned our article. in their letter, positive findings for acute pancreatitis (AP) Compliance with ethical standards on computed tomography (CT) is one of the three diagnos- tic criteria for AP [1]. So, CT is still an important imaging Conflict of interest All of the authors declare that the manuscript, as modality for the diagnosis of AP. submitted or its essence in another version, is not under consideration We have also mentioned in our article that American Col- for publication elsewhere, and will not be published elsewhere while lege of Gastroenterology (ACG) guidelines do not recom- under consideration by European Journal of Trauma and Emergency Surgery. All authors have made substantive contributions to the study, mend the routine use of contrast-enhanced CT (CECT) in and all authors endorse the data and conclusions. A single study is patients with AP and recommends the use of CECT for the not split up into several parts to increase the quantity of submissions patients for whom the diagnosis is unclear or who fail to and submitted to various journals or to one journal over time. No data improve clinically within the first 48–72 h of admission [2 , have been fabricated or manipulated (including images) to support our conclusions. No data, text, or theories by others are presented as if they 3], but as different studies have noted and we have faced in were the authors’ own. 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 References Emergency Physicians (EPs) initially in our ED especially in nightshifts. We aimed to evaluate this problem that we 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- This is a reply to a Letter to the Editor available here: creatitis on computed tomography. Eur J Trauma Emerg Surg. doi:10.1007/s00068-017-0843-1. 2017;43:287–92. 3. Tenner S, Bailie J, DeWitt J, Vege SS. American College of This reply and the corresponding Letter to the Editor refer to the Gastroenterology. American College of Gastroenterology guide- article available at doi:10.1007/s00068-016-0743-9. line: management of acute pancreatitis. Am J Gastroenterol. 2013;108:1400–15. * A. Karagöz 4. Papachristou GI, Clermont G, Sharma A, Yadav D, Whitcomb DC. Risk and markers of severe acute pancreatitis. Gastroenterol E. E. Ünlüer Clin N Am. 2007;36:277–96. Department of Emergency Medicine, İzmir Çiğli Training Hospital, 35620 Çiğli/izmir, Turkey Department of Emergency Medicine, Faculty of Medicine, Uşak University, 64000 Uşak, Turkey Vol.:(0123456789) 1 3 European Journal of Trauma and Emergency Surgery Springer Journals

The ability of emergency physicians to diagnose and score acute pancreatitis on computed tomography: authors’ response

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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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