Douglas Jorge Racy MD, Presenter: Nothing to Disclose

1) Elucidate acute pancreatitis in its early phase and later phase, and the persistent organ failure that can accompany its occurance. 2) Enumerate the various fluid collections encountered in acute pancreatitis as defined by the revised Atlanta classification. 3) Identify the two phases of acute pancreatitis, the parameters that determine care, and the treatment for an infected walled-off necrosis.

Imaging of acute pancreatitis requires not only an understanding of the disease subtypes and  associated complications but also familiarity with the appropriate radiologic nomenclature as defined by the Atlanta symposium in 1992 and, more recently, by the Acute Pancreatitis Classification Working Group in 2008. The accurate description of the radiological find- ings plays a critical role in the evaluation and manage- ment of patients with acute pancreatitis, particularly those with severe disease. There have been increasing efforts to develop uniformity in the use of terminology used to define the radiologic findings in acute pancrea- titis. Terms such as ‘‘acute peripancreatic fluid collections,’’ ‘‘acute post- necrotic fluid collections,’’ ‘‘pseudocyst,’’ and ‘‘walled-off pancreatic necrosis’’ are now recommended as they describe the evolution of fluid collections in patients with both interstitial and necrotizing pancreati- tis and nonspecific terms such as ‘‘pancreatic abscess’’ and ‘‘phlegmon’’ are being abandoned. In this review we illustrate, with case examples, the standardized termi- nology used in the radiological and clinical description of acute pancreatitis, its severity, and complications with an emphasis on the role of computed tomog- raphy and magnetic resonance imaging. Different man- agement options of the associated complications are also discussed. The use of standardized terminology will hopefully improve the communication between radiolo- gists, gastroenterologists, and surgeons to facilitate treatment planning and will lead to enhanced outcomes for patients with acute pancreatitis as well as create uniformity for enrollment into research studies.

<a href="http://media.rsna.org/media/abstract/2013/13029294/SPSP01J RacySECURED.pdf" target="_blank">http://media.rsna.org/media/abstract/2013/13029294/SPSP01J RacySECURED.pdf</a>

Racy, D, Visceras Sólidas Abdominales: Pancreatitis/Solid Abdominal Viscera: Pancreatitis  .  Radiological Society of North America 2013 Scientific Assembly and Annual Meeting, December 1 - December 6, 2013 ,Chicago IL. http://archive.rsna.org/2013/13029294.html