| Advances in prognostic factors in acute pancreatitis: a mini-review. | |
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MedLine Citation:
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PMID: 20943456 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Early assessment of the severity of acute pancreatitis is essential to the proper management of the disease. It is dependent on the criteria of the Atlanta classification system. DATA SOURCES: PubMed search of recent relevant articles was performed to identify information about the severity and prognosis of acute pancreatitis. RESULTS: The scoring systems included the Ranson's or Glasgow's criteria ≥3, the APACHE II classification system ≥8, and the Balthazar's criteria ≥4 according to the computed tomography enhanced scanning findings. The single factors on admission included age >65 years, obesity, hemoconcentration (>44%), abnormal chest X-ray, creatinine >2 mg/dl, C-reactive protein >150 mg/dl, procalcitonin >1.8 ng/ml, albumin <2.5 mg/dl, calcium <8.5 mg/dl, early hyperglycemia, increased intra-abdominal pressure, macrophage migration inhibitory factor, or a combination of IL-10 >50 pg/ml with calcium <6.6 mg/dl. CONCLUSION: The prediction of the severity of acute pancreatitis is largely based on well defined multiple factor scoring systems as well as several single risk factors. |
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Authors:
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Theodoros E Pavlidis; Efstathios T Pavlidis; Athanasios K Sakantamis |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Hepatobiliary & pancreatic diseases international : HBPD INT Volume: 9 ISSN: 1499-3872 ISO Abbreviation: HBPD INT Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-10-14 Completed Date: 2011-02-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101151457 Medline TA: Hepatobiliary Pancreat Dis Int Country: China |
Other Details:
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Languages: eng Pagination: 482-6 Citation Subset: IM |
Affiliation:
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Surgical Propedeutical Department, Medical School, Aristotle University of Thessaloniki, Hippocration Hospital, Konstantinoupoleos 49, 54642 Thessaloniki, Greece. pavlidth@otenet.gr |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Humans Pancreatitis / blood*, diagnosis* Prognosis Risk Factors Severity of Illness Index |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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