Abstract:
While the Revised Atlanta Classification outlines the primary complications of acute pancreatitis, it is crucial to recognize additional factors that contribute to morbidity and mortality associated with acute pancreatitis. In this review, we discuss the imaging-based classification and staging of acute pancreatitis as described by the Revised Atlanta Classification, but also provide a comprehensive understanding of the pancreatic anatomy and its relation to surrounding structures, which is essential for imaging-based assessment of both acute pancreatitis and its complications. We further extend the discussion beyond common complications such as pseudocysts and walled-off necrosis to include lesser-known but significant complications such as peripancreatic infection, disconnected ductal disconnection syndrome, thrombosis, hemorrhage, and gastrointestinal complications. Additionally, illustrative examples are presented to highlight relevant points pertaining to real-life imaging assessment of acute pancreatitis and its complications.
摘要:
虽然修订后的亚特兰大分类概述了急性胰腺炎的主要并发症,认识到与急性胰腺炎相关的发病率和死亡率相关的其他因素至关重要.在这次审查中,我们讨论了修订的亚特兰大分类法所描述的基于影像学的急性胰腺炎分类和分期,而且还提供了对胰腺解剖结构及其与周围结构的关系的全面了解,这对于基于影像学的急性胰腺炎及其并发症的评估至关重要。我们进一步将讨论扩展到假性囊肿和壁坏死等常见并发症之外,包括鲜为人知但严重的并发症,如胰周感染。导管断开综合征,血栓形成,出血,和胃肠道并发症。此外,提供了说明性示例,以强调与急性胰腺炎及其并发症的真实影像评估有关的相关要点。