医学
急性胰腺炎
胰腺炎
胃肠病学
磁共振成像
内科学
糖尿病
2型糖尿病
入射(几何)
水肿
胰腺
放射科
内分泌学
光学
物理
作者
Bo Xiao,Haibo Xu,Zhi-qiong jiang,Jinxiang Hu,Guodong Yang
出处
期刊:Pancreas
[Ovid Technologies (Wolters Kluwer)]
日期:2020-04-01
卷期号:49 (4): 591-597
被引量:3
标识
DOI:10.1097/mpa.0000000000001530
摘要
Objective To determine the characteristics of type 2 diabetes mellitus (T2DM)–related acute pancreatitis (AP) on magnetic resonance imaging (MRI). Methods Retrospectively studied 262 patients with AP were admitted to our institution and underwent MRI. Diagnosis of T2DM-related AP was based on clinical manifestations, laboratory tests, and MRI. Pancreatic/peripancreatic changes were assessed on MRI. Results Fifty-three (20.2%) patients with T2DM-related AP and 209 (79.8%) with nondiabetic AP were enrolled. On MRI, a higher prevalence of necrotizing pancreatitis ( P < 0.001), pancreatic necrosis >30% (57.5% vs 29.2%; P = 0.006), hemorrhage (35.8% vs 19.1%; P = 0.009), abdominal wall edema (67.9% vs 46.8%; P = 0.006), walled-off necrosis (43.2% vs 14.6%; P < 0.001), and infected collections ( P < 0.001) were registered in T2DM with AP. T2DM-related AP sustained greater magnetic resonance severity index (mean, 5.1 [range, 2–10] vs 3.4 [range, 1–10]; P < 0.001), higher incidence of moderate and severe pancreatitis (69.8% vs 40.2%; P < 0.001), higher organ failure (45.3% vs 22%; P = 0.001), and prolonged hospitalization (mean, 25.2 [range, 10–63] vs 16 [range, 5–48] days; P < 0.001). Conclusions Type 2 diabetes mellitus–related AP is more moderate-to-severe pancreatitis, and it correlates with MRI characteristics of the pancreas itself, hemorrhage, abdominal wall, and infected collections.
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