Diagnostic accuracy of contrast enhanced computed tomography (CECT) in detection of necrosis in acute pancreatitis by taking surgical findings as gold standard.
J Pak Med Assoc
; 70(11): 1930-1933, 2020 Nov.
Article
en En
| MEDLINE
| ID: mdl-33341832
OBJECTIVE: To determine the diagnostic accuracy of contrast-enhanced computed tomography in the detection of necrosis in acute pancreatitis by taking surgical findings as the gold standard. METHODS: The descriptive cross-sectional study was conducted at Radiology and Surgery departments of the Jinnah Postgraduate Medical Centre, Karachi, from January 1 to June 30, 2016, and comprised patients of either gender having severe clinical pancreatitis with symptoms lasting >72 hours without showing improvement. Computed tomography scan was performed with slice thickness of 3mm. Multiple detector scan of abdomen with contrast was done. Data was analysed using SPSS 19. RESULTS: Of the 191 patients, 97 (50.8%) were female, and 129 (67.50%) were aged >40 years, with an overall mean age of 39.65±11.67 years. Mean duration of the symptoms was 85.61±6.41 hours. Contrast-enhanced computed tomography scan's sensitivity was 71.4%, specificity 87%, positive predictive value 83.33%, negative predictive value 76.99% and over all diagnostic accuracy was 79.5%. CONCLUSIONS: The diagnostic accuracy of contrast-enhanced computed tomography was found to be high in detecting necrosis in acute pancreatitis cases.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Pancreatitis
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Pak Med Assoc
Año:
2020
Tipo del documento:
Article
País de afiliación:
Pakistán
Pais de publicación:
Pakistán