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Vol. 61. Issue 6.
Pages 453-466 (November - December 2019)
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Vol. 61. Issue 6.
Pages 453-466 (November - December 2019)
Update in Radiology
Radiology of acute pancreatitis today: The Atlanta classification and the current role of imaging in its diagnosis and treatment
Radiología de la pancreatitis aguda hoy: clasificación de Atlanta y papel actual de la imagen en su diagnóstico y tratamiento
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C.M. Ortiz Morales
Corresponding author
cm.ortiz.morales@gmail.com

Corresponding author.
, E.L. Girela Baena, J.R. Olalla Muñoz, E. Parlorio de Andrés, J.A. López Corbalán
Servicio de Radiodiagnóstico, Hospital J.M. Morales Meseguer, Murcia, Spain
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Tables (6)
Table 1. Types of collections in acute pancreatitis.
Table 2. Modified Marshall scoring system for the definition of organ failure.
Table 3. Severity of acute pancreatitis according to the revised Atlanta classification.
Table 4. Balthazar grades.
Table 5. Computed tomography severity index.
Table 6. Modified computed tomography severity index.
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Abstract

Acute pancreatitis is common and requires multidisciplinary management. The revised Atlanta classification, published in 2012, defines the terminology necessary to enable specialists from different backgrounds to discuss the morphological and clinical types of acute pancreatitis. Radiologists’ role depends fundamentally on computed tomography (CT), which makes it possible to classify the morphology of this disease and to predict its clinical severity by applying imaging severity indices. Furthermore, CT- or ultrasound-guided drainage is, together with endoscopy, the current technique of choice in the initial approach to collections that appear as a complication. This paper aims to disseminate the concepts coined in the revised Atlanta classification and to describe the current role of radiologists in the diagnosis and treatment of acute pancreatitis.

Keywords:
Pancreatitis
Classification
Multidetector computed tomography
Fine-needle aspiration
Percutaneous drainage
Resumen

La pancreatitis aguda es una patología frecuente que requiere un manejo multidisciplinar. La revisión de 2012 de la clasificación de Atlanta proporciona la terminología más aceptada en este momento para hablar de sus tipos morfológicos y clínicos entre los distintos especialistas expertos. El papel de la radiología viene dado fundamentalmente por la tomografía computarizada (TC), que permite hacer una clasificación morfológica de esta patología y predecir su gravedad clínica con la aplicación de índices de gravedad por imagen. Además, el drenaje radiológico guiado por TC o ecografía es, junto con el endoscópico, la técnica de elección actual en el abordaje inicial de las colecciones que aparecen como complicación. El objetivo de este trabajo es difundir los conceptos acuñados en la revisión de la clasificación de Atlanta y describir el papel actual del radiólogo en el diagnóstico y tratamiento de la pancreatitis aguda.

Palabras clave:
Pancreatitis
Clasificación
Tomografía computarizada multidetector
Aspiración con aguja fina
Drenaje percutáneo

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