Türkvatan A, Erden A, Türkoğlu M A, Seçil M, Yüce G
Department of Radiology, Türkiye Yüksek İhtisas Hospital, Kızılay street, No 4, 06100 Sıhhiye, Ankara, Turkey.
Department of Radiology, Ankara University School of Medicine, Talatpaşa Street, 06100 Sıhhiye, Ankara, Turkey.
Diagn Interv Imaging. 2015 Feb;96(2):161-9. doi: 10.1016/j.diii.2013.12.018. Epub 2014 Apr 2.
The Atlanta classification of acute pancreatitis was introduced in 1992 and divides patients into mild and severe groups based on clinical and biochemical criteria. Recently, the terminology and classification scheme proposed at the initial Atlanta Symposium have been reviewed and a new consensus statement has been proposed by the Acute Pancreatitis Classification Working Group. Major changes include subdividing acute fluid collections into "acute peripancreatic fluid collection" and "acute post-necrotic pancreatic/peripancreatic fluid collection (acute necrotic collection)" based on the presence of necrotic debris. Delayed fluid collections have been similarly subdivided into "pseudocyst" and "walled of pancreatic necrosis". Appropriate use of the new terms describing the fluid collections is important for management decision-making in patients with acute pancreatitis. The purpose of this review article is to present an overview of complications of the acute pancreatitis with emphasis on their prognostic significance and impact on clinical management and to clarify confusing terminology for pancreatic fluid collections.
急性胰腺炎的亚特兰大分类法于1992年引入，根据临床和生化标准将患者分为轻度和重度组。最近，对最初亚特兰大研讨会提出的术语和分类方案进行了审查，急性胰腺炎分类工作组提出了一项新的共识声明。主要变化包括根据坏死碎片的存在将急性液体积聚细分为“急性胰周液体积聚”和“急性坏死性胰周液体积聚（急性坏死性积聚）”。延迟性液体积聚也同样细分为“假性囊肿”和“包裹性胰腺坏死”。正确使用描述液体积聚的新术语对于急性胰腺炎患者的管理决策很重要。这篇综述文章的目的是概述急性胰腺炎的并发症，重点是它们的预后意义以及对临床管理的影响，并澄清胰腺液体积聚的混淆术语。
