Читать книгу Clinical Pancreatology for Practising Gastroenterologists and Surgeons - Группа авторов - Страница 88

The widespread availability and reproducibility of CT have reduced diagnostic error in AP. Early CT imaging is useful only when the clinical diagnosis is in doubt. It can also be used to determine prognosis, although it is not superior to clinical scoring systems. CT imaging is most beneficial in those who fail to improve with conservative therapy after 48–72 hours, and in those who may have persistent fever, nausea, oral feeding intolerance, persistent systemic inflammatory response syndrome, or organ failure to confirm the presence of local complications. CT should be utilized to determine the degree and extent of pancreatic necrosis, as well as the detection of other suspected complications such as venous thrombosis and pseudoaneurysms. Appropriate use of CT and conveying the imaging findings to internists, pancreatologists, gastroenterologists, and surgeons are essential for the multidisciplinary management of patients with AP.