Acute pancreatitis Digestive System Acute pancreatitis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients diagnosed with AP in the visceral surgery department at the Lausanne University Hospital (CHUV), Switzerland, during the period between December 2020 and November 2021. According to the guidelines, AP is defined as two or more of the following characteristics: abdominal pain, and serum amylase or lipase levels three or more times the upper limit of normal (>210 U/L and >180 U/L, respectively). 2. Patients undergoing a contrast-enhanced CT during their hospital stay about 48-72 hours after admission
Exclusion criteria
Exclusion criteria: 1. Intubation and/or ventilation 2. Renal failure with estimated glomerular filtration rate (GFR) less than 30 ml/min/1.73 m²) 3. History of allergic reactions to any contrast media 4. Proven or suspected pregnancy 5. Age under 18 years 6. General exclusion criteria for MRI: 6.1. Patients with non-MRI compatible metallic or electronic implants, devices or metallic foreign bodies (shrapnel, cochlea implants, neurostimulator, or other non-MRI compatible implants) 6.2. Non-MRI compatible cardiac pacemaker 7. Previous diagnosis of chronic pancreatitis 8. Inability to cooperate because of claustrophobia 9. Inability to cognitively and/or linguistically understand the patient consent sheet 10. Patients with missing clinical or radiological data
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| AP severity graded according to the severity index on CT and MRI within 48-72 hours of admission | — |
Secondary
| Measure | Time frame |
|---|---|
| AP severity assessed clinically using the Ranson score, laboratory values and the further clinical evolution of pancreatitis during hospitalisation | — |
Countries
Switzerland