11 patients aged 24-70, with pancreatitis admitted at Viet Duc Hospital from Jan 1998 to Dec 2002. Ultrasonic examination was carried out and terminated diagnosis was performed surgically, blood level of amylase increased by 3 times versus normal level. The highest incidence level is in the middle age (13/14 patients – 31,7%). Ultrasonic signs characteristic for acute pancreatitis of edematous form is enlarged pancrea with appeared edge, low echo or equal echo of pancrea parenchyma. In necrojy form of acute pancreatitis the pancrea edge is dim, pancrea parenchyma is unregulated with the mixed structure. In 9/41 patients, by ultrasound the pancrea is not appeared. Thus in accessing the pancrea, pancreatitis can be diagnosed with a sensibility of 81,23%
Pancreatitis ; Ultrasonics ; Pancreatitis, Acute Necrotizing

Acute necrotizing pancreatitis accounts for 10% of acute pancreatitis (AP) cases and is associated with a higher mortality and morbidity. Necrosis within the first 4 weeks of disease onset is defined as an acute necrotic collection (ANC), while walled off pancreatic necrosis (WOPN) develops after 4 weeks of disease onset. An infected or symptomatic WOPN requires drainage. The management of pancreatic necrosis has shifted away from open necrosectomy, as it is associated with a high morbidity, to less invasive techniques. In this review, we summarize the current management and therapies for acute necrotizing pancreatitis.
Drainage ; Mortality ; Necrosis ; Pancreatitis* ; Pancreatitis, Acute Necrotizing

Acute Disease ; Humans ; Pancreas ; Pancreatitis ; surgery ; Pancreatitis, Acute Necrotizing

Humans ; Pancreatitis, Acute Necrotizing ; diagnosis ; therapy ; Practice Guidelines as Topic

Pancreatitis, Acute Necrotizing; Patients; Image Processing, Computer-Assisted; From January 1996 to December 2000, at Viet Duc Hospital, 41 patients were undergone a CT scanning and at the end, an operation or an amylase quantitation with a threefold higher blood level. In most of cases CT scanner showed a size of threefold large than normal pancrea. However no larger size was found in the cases of necrotic of the periphery of the pancrea associated with peripheral infiltrated tissues, on CT image the peripheral infiltrated tisues, the dim borders, the rough parenclyma before and after injection of photocontrast agent are significant signs for diagnosing acute hemorrhagic necrotic pancreatitis
Pancreatitis, Acute Necrotizing ; Patients ; Image Processing, Computer-Assisted

From Jan 1998 to Dec 2000 a study on 41 acute pancreatitis patients was conducted by comparation description with ultrasound and CT scanning. The diagnostic results of two techniques are coincident considerably such as the large dimension of pancrea, the infiltration of the tissues around the pancrea, the gangrene of parenchyma. However, CT is preferable to ultrasound in the prognosis, these two techniques were suitable in diagnosis of acute pancreatitis, ultrasound can be used as a detective tool for discovering preliminarily acute pancreatitis and afterwards, CT can conducted to evaluate the prognosis. These techniques can let pass the dispensed hemorrlagy and the gangrene of parenchyma
Pancreatitis, Acute Necrotizing ; ultrasonography ; Patients ; Tomography, Emission-Computed

Critical Illness ; Humans ; Pancreatitis, Acute Necrotizing ; diagnosis ; surgery ; therapy

Compartment Syndromes ; diagnosis ; etiology ; therapy ; Humans ; Pancreatitis, Acute Necrotizing ; complications

Humans ; Pancreatitis, Acute Necrotizing ; pathology ; therapy ; Time Factors

China ; Humans ; Pancreatitis, Acute Necrotizing ; diagnosis ; therapy ; Practice Guidelines as Topic