Acute Pancreatitis: Assessment Severity with Ranson Score and CT Evaluation
Potchavit Aphinives MD*, Chananya Karunasumetta MD*, Vajarabhongsa Bhudhisawasdi MD*, O-tur Saesaew MD*
Affiliation : * Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
Background : Severe acute pancreatitis is a complex and challenging problem. The aim of the present study was to assess
severe acute pancreatitis (SAP) with Ranson score and CT scan.
Material and Method: Between January 2000 and December 2005, all patients who had each of the following criteria
(1) first-time diagnosis of acute pancreatitis, (2) acute pancreatitis as the primary admitting diagnosis and (3) contrasted-
enhanced computed tomography (CE-CT) were retrospectively reviewed.
Results : Ninety-eight patients that met the present study criteria were identified. Of these patients, 27 were defined as SAP by
using Ranson criteria and/or CE-CT. Within SAP group, factors showing significance (p < 0.05) in the patients that had a
Ranson score between > 3 and < 3 were age and biliary tract stone.
Conclusion : The incidence of severe acute pancreatitis in Srinagarind Hospital was 27.5%. Biliary disease and alcohol
abuse together accounted for 81.48% of severe acute pancreatitis patients.
Keywords : Severe acute pancreatitis, Etiology, Clinical characteristics
