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World J Gastroenterol. Jan 21, 2011; 17(3): 407-408
Published online Jan 21, 2011. doi: 10.3748/wjg.v17.i3.407
Published online Jan 21, 2011. doi: 10.3748/wjg.v17.i3.407
Comments on the article about correlation between computerized tomography and surgery in acute pancreatitis
Enver Zerem, Bahrija Haračić, Department of Gastroenterology, University Clinical Center Tuzla, 75000 Tuzla, Bosnia and Herzegovina
Goran Imamović, Medical Division, Fresenius Medical Care BH, d.o.o. Sarajevo, 71000 Sarajevo, Bosnia and Herzegovina
Zoran Mavija, Department of Gastroenterology, Clinical Center Banjaluka, 78000 Banjaluka, Bosnia and Herzegovina
Author contributions: Zerem E, Imamović G, Mavija Z and Haračić B contributed equally to this letter to the editor.
Correspondence to: Enver Zerem, MD, PhD, Department of Gastroenterology, University Clinical Center Tuzla, Trnovac bb, 75000 Tuzla, Bosnia and Herzegovina. zerem@live.com
Telephone: +387-35-393300 Fax: +387-35-250474
Received: September 23, 2010
Revised: November 30, 2010
Accepted: December 7, 2010
Published online: January 21, 2011
Revised: November 30, 2010
Accepted: December 7, 2010
Published online: January 21, 2011
Abstract
We read with great interest the article by Vege et al published in issue 34 of World J Gastroenterol 2010. The article evaluates the ability of contrast-enhanced computerized tomography (CECT) to characterize the nature of peripancreatic collections found at surgery. The results of their study indicate that most of the peripancreatic collections seen on CECT in patients with severe acute pancreatitis who require operative intervention contain necrotic tissue and CECT has a limited role in differentiating various types of collections. However, there are some points that need to be addressed, including data about the stage of acute pancreatitis in which CECT was done and the time span between CECT examination and surgery.
Keywords: Acute pancreatitis, Pancreatic necrosis, Peripancreatic fluid collection, Contrast-enhanced computerized tomography, Surgery