Beyond the revised atlanta classification: A comprehensive review of the imaging assessment of acute pancreatitis and its complications Review


Authors: Chagas, L. A.; Albuquerque, K. S.; Soares, L. E.; Machado, D. C.; Antunes, P. D.; Stern, J. J.; Romao, D. D. S.; Fonseca, B. M. R.C.F; Horvat, N.
Review Title: Beyond the revised atlanta classification: A comprehensive review of the imaging assessment of acute pancreatitis and its complications
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.
Keywords: pancreatitis; outcomes; computed tomography; hemorrhagic; pancreatitis, acute necrotizing; pancreatitis, acute; pancreatitis complications
Journal Title: Abdominal Radiology
Volume: 50
Issue: 1
ISSN: 2366-004X
Publisher: Springer  
Date Published: 2025-01-01
Start Page: 423
End Page: 437
Language: English
ACCESSION: WOS:001261201600004
DOI: 10.1007/s00261-024-04425-2
PROVIDER: wos
PUBMED: 38954004
Notes: The MSK Cancer Center Support Grant (P30 CA008748) is acknowledge in the PDF -- Source: Wos
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  1. Natally Horvat
    101 Horvat