Early diagnosis of mild acute pancreatitis

Popov A.V.

Permskaia gosudarstvennaia meditsinskaia akademiia im. akad. E.A. Vagnera

Mineev D.A.

Permskaia gosudarstvennaia meditsinskaia akademiia im. akad. E.A. Vagnera

Ershova A.I.

Department of Hospital Surgery;
Institute of Continuous Media Mechanics, Ural Branch of RAS, Perm, Russia

Popova N.N.

Krasnoyarsk State Medical University, Krasnoyarsk, Russian Federation

Early diagnosis of mild acute pancreatitis

Authors:

Popov A.V., Mineev D.A., Ershova A.I., Popova N.N.

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Journal: Pirogov Russian Journal of Surgery. 2016;(7): 11‑17

DOI: 10.17116/hirurgia2016711-17

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To cite this article:

Popov AV, Mineev DA, Ershova AI, Popova NN. Early diagnosis of mild acute pancreatitis. Pirogov Russian Journal of Surgery. 2016;(7):11‑17. (In Russ.)
https://doi.org/10.17116/hirurgia2016711-17

Подписка 2025-2 (Pirogov Russian Journal of Surgery)

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Aim. To analyze the efficacy of early detection of patients with mild acute pancreatitis. Material and methods. 61 patients with acute pancreatitis who do not require intensive care were analyzed. Severity of condition was assessed using integral scales, i.e. modified index of severe pancreatitis severity (MITOP), BISAP, HAPS, SOFA, SIRS, CTSI and Atlanta classification (2012). Results. Verification of mild course of disease according to MITOP scores ≤0.23 and BISAP scores ≤1 for the first 24 hours after admission and CTSI scores ≤3 within first 72 hours had high accuracy [AUC (CI 95%) 0.79 (0.66—0.91); 0.76 (0.66—0.87) and 0.99 (0.97—1.00) respectively], sensitivity and specificity (88.8 and 43.7%; 71.1 and 75.0%; 100 and 83.3% respectively). Conclusion. MITOP and BISAP scales are reliable to diagnose early mild acute pancreatitis. Their high positive diagnostic value (81.6 and 88.8%) allows to detect patients who do not require intensive care.

Keywords:

mild acute pancreatitis

severity assessment scales

prognosis

Authors:

Popov A.V.

Permskaia gosudarstvennaia meditsinskaia akademiia im. akad. E.A. Vagnera

Mineev D.A.

Permskaia gosudarstvennaia meditsinskaia akademiia im. akad. E.A. Vagnera

Ershova A.I.

Department of Hospital Surgery;
Institute of Continuous Media Mechanics, Ural Branch of RAS, Perm, Russia

Popova N.N.

Krasnoyarsk State Medical University, Krasnoyarsk, Russian Federation

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