Keywords:
Abdomen, Pancreas, Biliary Tract / Gallbladder, CT, CT-High Resolution, Digital radiography, Complications, Diagnostic procedure, Statistics, Inflammation, Acute, Epidemiology
Authors:
M. Stasiulewicz1, A. M. Matlak2, K. Ludwik2, K. Mendrala2, R. Bablok2, J. Pilch-Kowalczyk2, M. KORZEKWA2, J. Baron2; 1Ciechocinek/PL, 2Katowice/PL
DOI:
10.1594/ecr2013/C-2111
Conclusion
Level of significance (p-value) was higher than 0,05 in every executed test – study has not revealed statistically significant relationship between gender and severity rate of the nonalcoholic acute pancreatitis.
Most patients evaluated with radiological scales were diagnosed with medium grade severity acute pancreatitis and extrapancreatic inflammation was described to be the most frequent,
thus it is highly recommended to use more than one radiological scale,
because they complement each other in the accurate evaluation of acute pancreatitis – precisely define patient’s condition,
severity of the disease and level of risk,
so they help to improve specialist treatment.
Table 4: Comparison of radiological scales used in acute pancreatitis evaluation.
Statistical analysis shows that relationship between gender and severity rate of acute pancreatitis in radiological evaluation does not occur,
however comparatively homogenous population of patients should be taken into consideration: 78 cases of biliary pancreatitis,
14 unknown,
4 neoplasm,
7 iatrogenic,
1 metabolic and 1 case of dietary mistake.
It is important to emphasize clinical usefulness of statistical examination of relationship of severity rate of acute pancreatitis and gender or etiology,
which shows us wider perspective of the disease and perhaps allow to modify and provide appropriate treatment in the future.