Leukocyta szcintigráfia az akut pancreatitis diagnosztikájában.

Translated title of the contribution: Leukocyte scintigraphy in the diagnosis of acute pancreatitis

T. Takács, M. Papós, G. Farkas, J. Márton, L. Pávics, J. Láng, L. Csernay, J. Lonovics

Research output: Contribution to journalArticle

Abstract

The authors investigate the place and clinical usability of the 99mTc-HM-PAO leukocyte scintigraphy (LS) in patients with acute pancreatitis. Another purpose was to establish the diagnostic value of LS to differenciate between infected and noninfected pseudocysts following acute pancreatitis. Seventy-five patients with acute pancreatitis were examined and divided into two groups. In group 1, LS was performed in 46 consecutive patients in the early phase (mean 3 days following the beginning of the symptoms, range 1-6 days) of acute pancreatitis. In group 2, LS was performed in 29 patients with pancreatic pseudocysts following acute pancreatitis. The diagnosis of acute pancreatitis was based on the typical clinical symptoms, laboratory parameters, Ranson criteria, US and CT findings. In group 1, most of the cases with a severe clinical outcome (Ranson classification) gave positive LS results (13/15). Leukocyte accumulation was also detected in patients with mild acute pancreatitis (5/26), but at a lower frequency. The scintigraphic activity correlated with the leukocyte count, fever, and duration of hospitalization. In group 2, there were seven LS positive cases. A pancreatic abscess or infected pseudocyst was found in all of them during surgery. In 9 LS negative cases surgery and bacterial culturing revealed sterile pseudocyst. In conclusion, a positive LS indicated a severe course of acute pancreatitis. The method also seems useful for differentiation between infected and noninfected pancreatic pseudocysts.

Original languageHungarian
Pages (from-to)483-488
Number of pages6
JournalOrvosi Hetilap
Volume140
Issue number9
Publication statusPublished - Feb 28 1999

Fingerprint

Radionuclide Imaging
Pancreatitis
Leukocytes
Pancreatic Pseudocyst
Leukocyte Count
Abscess
Hospitalization
Fever

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Leukocyta szcintigráfia az akut pancreatitis diagnosztikájában. / Takács, T.; Papós, M.; Farkas, G.; Márton, J.; Pávics, L.; Láng, J.; Csernay, L.; Lonovics, J.

In: Orvosi Hetilap, Vol. 140, No. 9, 28.02.1999, p. 483-488.

Research output: Contribution to journalArticle

Takács, T, Papós, M, Farkas, G, Márton, J, Pávics, L, Láng, J, Csernay, L & Lonovics, J 1999, 'Leukocyta szcintigráfia az akut pancreatitis diagnosztikájában.', Orvosi Hetilap, vol. 140, no. 9, pp. 483-488.
Takács T, Papós M, Farkas G, Márton J, Pávics L, Láng J et al. Leukocyta szcintigráfia az akut pancreatitis diagnosztikájában. Orvosi Hetilap. 1999 Feb 28;140(9):483-488.
Takács, T. ; Papós, M. ; Farkas, G. ; Márton, J. ; Pávics, L. ; Láng, J. ; Csernay, L. ; Lonovics, J. / Leukocyta szcintigráfia az akut pancreatitis diagnosztikájában. In: Orvosi Hetilap. 1999 ; Vol. 140, No. 9. pp. 483-488.
@article{3710ad9bfa75463281a0db3d66893c53,
title = "Leukocyta szcintigr{\'a}fia az akut pancreatitis diagnosztik{\'a}j{\'a}ban.",
abstract = "The authors investigate the place and clinical usability of the 99mTc-HM-PAO leukocyte scintigraphy (LS) in patients with acute pancreatitis. Another purpose was to establish the diagnostic value of LS to differenciate between infected and noninfected pseudocysts following acute pancreatitis. Seventy-five patients with acute pancreatitis were examined and divided into two groups. In group 1, LS was performed in 46 consecutive patients in the early phase (mean 3 days following the beginning of the symptoms, range 1-6 days) of acute pancreatitis. In group 2, LS was performed in 29 patients with pancreatic pseudocysts following acute pancreatitis. The diagnosis of acute pancreatitis was based on the typical clinical symptoms, laboratory parameters, Ranson criteria, US and CT findings. In group 1, most of the cases with a severe clinical outcome (Ranson classification) gave positive LS results (13/15). Leukocyte accumulation was also detected in patients with mild acute pancreatitis (5/26), but at a lower frequency. The scintigraphic activity correlated with the leukocyte count, fever, and duration of hospitalization. In group 2, there were seven LS positive cases. A pancreatic abscess or infected pseudocyst was found in all of them during surgery. In 9 LS negative cases surgery and bacterial culturing revealed sterile pseudocyst. In conclusion, a positive LS indicated a severe course of acute pancreatitis. The method also seems useful for differentiation between infected and noninfected pancreatic pseudocysts.",
author = "T. Tak{\'a}cs and M. Pap{\'o}s and G. Farkas and J. M{\'a}rton and L. P{\'a}vics and J. L{\'a}ng and L. Csernay and J. Lonovics",
year = "1999",
month = "2",
day = "28",
language = "Hungarian",
volume = "140",
pages = "483--488",
journal = "Orvosi Hetilap",
issn = "0030-6002",
publisher = "Akademiai Kiado",
number = "9",

}

TY - JOUR

T1 - Leukocyta szcintigráfia az akut pancreatitis diagnosztikájában.

AU - Takács, T.

AU - Papós, M.

AU - Farkas, G.

AU - Márton, J.

AU - Pávics, L.

AU - Láng, J.

AU - Csernay, L.

AU - Lonovics, J.

PY - 1999/2/28

Y1 - 1999/2/28

N2 - The authors investigate the place and clinical usability of the 99mTc-HM-PAO leukocyte scintigraphy (LS) in patients with acute pancreatitis. Another purpose was to establish the diagnostic value of LS to differenciate between infected and noninfected pseudocysts following acute pancreatitis. Seventy-five patients with acute pancreatitis were examined and divided into two groups. In group 1, LS was performed in 46 consecutive patients in the early phase (mean 3 days following the beginning of the symptoms, range 1-6 days) of acute pancreatitis. In group 2, LS was performed in 29 patients with pancreatic pseudocysts following acute pancreatitis. The diagnosis of acute pancreatitis was based on the typical clinical symptoms, laboratory parameters, Ranson criteria, US and CT findings. In group 1, most of the cases with a severe clinical outcome (Ranson classification) gave positive LS results (13/15). Leukocyte accumulation was also detected in patients with mild acute pancreatitis (5/26), but at a lower frequency. The scintigraphic activity correlated with the leukocyte count, fever, and duration of hospitalization. In group 2, there were seven LS positive cases. A pancreatic abscess or infected pseudocyst was found in all of them during surgery. In 9 LS negative cases surgery and bacterial culturing revealed sterile pseudocyst. In conclusion, a positive LS indicated a severe course of acute pancreatitis. The method also seems useful for differentiation between infected and noninfected pancreatic pseudocysts.

AB - The authors investigate the place and clinical usability of the 99mTc-HM-PAO leukocyte scintigraphy (LS) in patients with acute pancreatitis. Another purpose was to establish the diagnostic value of LS to differenciate between infected and noninfected pseudocysts following acute pancreatitis. Seventy-five patients with acute pancreatitis were examined and divided into two groups. In group 1, LS was performed in 46 consecutive patients in the early phase (mean 3 days following the beginning of the symptoms, range 1-6 days) of acute pancreatitis. In group 2, LS was performed in 29 patients with pancreatic pseudocysts following acute pancreatitis. The diagnosis of acute pancreatitis was based on the typical clinical symptoms, laboratory parameters, Ranson criteria, US and CT findings. In group 1, most of the cases with a severe clinical outcome (Ranson classification) gave positive LS results (13/15). Leukocyte accumulation was also detected in patients with mild acute pancreatitis (5/26), but at a lower frequency. The scintigraphic activity correlated with the leukocyte count, fever, and duration of hospitalization. In group 2, there were seven LS positive cases. A pancreatic abscess or infected pseudocyst was found in all of them during surgery. In 9 LS negative cases surgery and bacterial culturing revealed sterile pseudocyst. In conclusion, a positive LS indicated a severe course of acute pancreatitis. The method also seems useful for differentiation between infected and noninfected pancreatic pseudocysts.

UR - http://www.scopus.com/inward/record.url?scp=0033611629&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0033611629&partnerID=8YFLogxK

M3 - Article

VL - 140

SP - 483

EP - 488

JO - Orvosi Hetilap

JF - Orvosi Hetilap

SN - 0030-6002

IS - 9

ER -