KIZILDAĞ YIRGIN, İnci Batman Bölge Devlet Hastahanesi - Radyoloji Kliniği, Türkiye , HOCAOĞLU, Elif Bakırköy Dr Sadi Konuk Eğitim ve Araştırma Hastanesi - Radyoloji Kliniği, Türkiye , YIRGIN, Hakan Batman Bölge Devlet Hastahanesi - Genel Cerrahi Kliniği, Türkiye , KAYHAN, Arda Esenyurt Üniversitesi - Tıp Fakültesi - Radyoloji Anabilim Dalı, Türkiye , TURAN GÜNER, Nurten Bakırköy Dr Sadi Konuk Eğitim ve Araştırma Hastanesi - Radyoloji Kliniği, Türkiye , KALKAN GÖMEÇ, Serpil Bakırköy Dr Sadi Konuk Eğitim ve Araştırma Hastanesi - Radyoloji Kliniği, Türkiye , BAYRAMOĞLU, Sibel Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi - Radyoloji Kliniği, Turkey , CİMİLLİ, Tan Bakırköy Dr Sadi Konuk Eğitim ve Araştırma Hastanesi - Radyoloji Kliniği, Türkiye

Comparison of CT severity index and modified CT severity index in patients with acute pancreatitis, in determining the severity of the disease

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Objective: In our study, the correlation between computed tomography severity index (CTSI) and modified computed tomography severity index (MCTSI) regarding assessment of severity parameters in acute pancreatitis, and Ranson criteria were investigated. Patients and Methods: The study was retrospective and included 50 patients. Demographic, clinical and laboratory data were recorded. The size of the pancreas, peripancreatic inflammation, pararenal fascia thickening, necrosis, abscess, lymphadenopathy and abdominal ascites were investigated by computed tomography (CT) imaging. According to the data obtained, the CTSI and MCTSI values of each patient were calculated. The severity parameters of the disease; age, duration of hospitalization, abscess, pleural effusion and death were determined. Biliary, non-biliary pancreatitis and Ranson criteria were calculated. Results: In both groups and subgroups (mild, moderate and severe), there were no significant differences regarding age, hospital stay, gender and pleural effusion. but significant differences were detected for the presence of abscess and distribution of death. To determine compliance with each three subgroups in both scoring systems, Kappa test was used but the results were not consistent. No statistically significant correlation was observed between CTSI and MCTSI and Ranson scores. Conclusion: Our study shows that the CTSI and MCTSI are significantly correlated with mortality and abscess detection rate, only MCTSI is significantly correlated with the duration of hospitalization. Both of the severity indexes are not correlated with each other and Ranson Score.

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Acute pancretitis , CTSI , MCTSI

Marmara Medical Journal

194