P G Lankisch1, M Dröge, R Becher. 1. Department of Internal Medicine, Municipal Hospital of Lüneburg, Germany.
Abstract
CONCLUSION: Pleural infiltrates are indicative of severe acute pancreatitis and a negative prognostic parameter for the course of the disease. BACKGROUND: The purpose of this study was to determine the frequency of pulmonary infiltrates in acute pancreatitis and their importance for evaluating the severity of the disease. METHODS: Incidence and localization of pulmonary infiltrates were evaluated in 140 patients with acute pancreatitis. Chest X-ray was obtained within 24 h, and a contrast-enhanced computed tomography within 72 h after admission. Ranson's prognostic parameters were estimated within the first 48 h. RESULTS: Patients with pulmonary infiltrates (n = 36, 26%) had a significantly higher Ranson's score and pancreatic necroses more frequently than patients without this complication, plus a higher mortality rate.
CONCLUSION: Pleural infiltrates are indicative of severe acute pancreatitis and a negative prognostic parameter for the course of the disease. BACKGROUND: The purpose of this study was to determine the frequency of pulmonary infiltrates in acute pancreatitis and their importance for evaluating the severity of the disease. METHODS: Incidence and localization of pulmonary infiltrates were evaluated in 140 patients with acute pancreatitis. Chest X-ray was obtained within 24 h, and a contrast-enhanced computed tomography within 72 h after admission. Ranson's prognostic parameters were estimated within the first 48 h. RESULTS:Patients with pulmonary infiltrates (n = 36, 26%) had a significantly higher Ranson's score and pancreatic necroses more frequently than patients without this complication, plus a higher mortality rate.
Authors: Ina Luiken; Stephan Eisenmann; Jakob Garbe; Hanna Sternby; Robert C Verdonk; Alexandra Dimova; Povilas Ignatavicius; Lucas Ilzarbe; Peeter Koiva; Anne K Penttilä; Sara Regnér; Johannes Dober; Walter A Wohlgemuth; Richard Brill; Patrick Michl; Jonas Rosendahl; Marko Damm Journal: PLoS One Date: 2022-02-07 Impact factor: 3.240