10 - 20%

> 5

> 50%

(Table 3, 4), by estimating the presence and degree of pancreatic and peripancreatic inflammation and fluid accumulation and by detecting the presence and extent of pancreatic necrosis together with the estimation of the lack of enhancement of the gland (< 30%, 30-50%, > 50%, respectively), can be translated into a CT-severi-ty index (Table 4) that allows the estimation of complications (morbidity) and mortality (Fig. 4). If more than 50% of the volume of the pancreas is necrotic, the morbidity rate rises up to almost 100%. However, recently a modified and simplified CT severity index was proposed by Mortele et al. [28], correlating more closely with patient outcome measures than the currently accepted CT severity index (Table 4).

About a fifth of the patients without necrotic changes of the pancreatic gland also develop local complications. Fluid collections are seen in up to 50% of patients with AP. In about half of these patients these collections resolve spontaneously within several weeks. In the rest however, the fluid collections will persist, eventually followed by encapsulation, superinfection (abscess), or formation of a pseudocyst.

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