Radiología de la pancreatitis aguda hoy: clasificación de Atlanta y papel actual de la imagen en su diagnóstico y tratamiento / Radiology of acute pancreatitis today: the Atlanta classification and the current role of imaging in its diagnosis and treatment

La pancreatitis aguda es una patología frecuente que requiere un manejo multidisciplinar. La revisión de 2012 de la clasificación de Atlanta proporciona la terminología más aceptada en este momento para hablar de sus tipos morfológicos y clínicos entre los distintos especialistas expertos. El papel de la radiología viene dado fundamentalmente por la tomografía computarizada (TC), que permite hacer una clasificación morfológica de esta patología y predecir su gravedad clínica con la aplicación de índices de gravedad por imagen. Además, el drenaje radiológico guiado por TC o ecografía es, junto con el endoscópico, la técnica de elección actual en el abordaje inicial de las colecciones que aparecen como complicación. El objetivo de este trabajo es difundir los conceptos acuñados en la revisión de la clasificación de Atlanta y describir el papel actual del radiólogo en el diagnóstico y tratamiento de la pancreatitis aguda

Acute pancreatitis is common and requires multidisciplinary management. The revised Atlanta classification, published in 2012, defines the terminology necessary to enable specialists from different backgrounds to discuss the morphological and clinical types of acute pancreatitis. Radiologists' role depends fundamentally on computed tomography (CT), which makes it possible to classify the morphology of this disease and to predict its clinical severity by applying imaging severity indices. Furthermore, CT- or ultrasound-guided drainage is, together with endoscopy, the current technique of choice in the initial approach to collections that appear as a complication. This paper aims to disseminate the concepts coined in the revised Atlanta classification and to describe the current role of radiologists in the diagnosis and treatment of acute pancreatitis

Radiology of acute pancreatitis today: the Atlanta classification and the current role of imaging in its diagnosis and treatment. / Radiología de la pancreatitis aguda hoy: clasificación de Atlanta y papel actual de la imagen en su diagnóstico y tratamiento.

Acute pancreatitis is common and requires multidisciplinary management. The revised Atlanta classification, published in 2012, defines the terminology necessary to enable specialists from different backgrounds to discuss the morphological and clinical types of acute pancreatitis. Radiologists' role depends fundamentally on computed tomography (CT), which makes it possible to classify the morphology of this disease and to predict its clinical severity by applying imaging severity indices. Furthermore, CT- or ultrasound-guided drainage is, together with endoscopy, the current technique of choice in the initial approach to collections that appear as a complication. This paper aims to disseminate the concepts coined in the revised Atlanta classification and to describe the current role of radiologists in the diagnosis and treatment of acute pancreatitis.

Premios a las mejores presentaciones en el XVI Congreso de la SEDIA / Awards for the best presentations at the XVI Congress of SEDIA

En el mes de octubre tuvo lugar en Sevilla el XVI Congreso de la SEDIA con gran éxito de asistencia. La junta directiva otorgó premios a la mejor comunicación oral y a los mejores pósters electrónicos educativo y científico. En este artículo especial resumimos el contenido de las presentaciones galardonadas (AU)

In October, the sixteenth SEDIA congress was held in Seville with great success. The board of directors awarded prizes for the best oral communication and the best electronic educational and scientific posters. In this special article we summarize the content of the awards presentations (AU)

Awards for the best presentations at the XVI Congress of SEDIA. / Premios a las mejores presentaciones en el XVI Congreso de la SEDIA.

In October, the sixteenth SEDIA congress was held in Seville with great success. The board of directors awarded prizes for the best oral communication and the best electronic educational and scientific posters. In this special article we summarize the content of the awards presentations.

[Computed tomographic colonography: applications, advantages and disadvantages]. / Colonografía tomográfica computarizada: aplicaciones, ventajas e inconvenientes.

INTRODUCTION: Complete preoperative study of the colon is required in the management of colorectal cancer, due to the frequent association of primary colonic neoplasms with colonic adenomas (28%) and/or synchronous carcinomas (5%) of the colon. We present a series of patients who underwent computed tomographic colonography, the indications for this procedure, and the results. PATIENTS AND METHODS: We performed a descriptive prospective study. Between May 2003 and August 2004, 50 computed tomographic colonographies were performed in 50 patients with suspected stenosing colorectal cancer and incomplete conventional colonoscopy. RESULTS: Fifty computed tomographic colonographies were performed. The findings were as follows: three were normal (6%), and in the remainder, one was a false positive for a suspected neoplastic pelvic mass (3.125%) and two were false positives (11.7%) for colonic polyps. Fifty percent of the findings (n = 32) were related to peritoneal metastases and colonic neoplasms. There were 12 technical complications [lack of cleaning of the colon (5), lack of distension (2), little air insufflation (5)]. Patient complications included vegetative manifestations in one (vomiting) and rectal bleeding in another. The overall complication rate was 27.4% (23.4% corresponded to technical complications and the remaining 4% were patient-related). There was no mortality related to the procedure. CONCLUSION: Because computed tomographic colonography is safe, effective and well tolerated by the patient, it should be considered as a technical alternative in the study of stenosing neoplasms of the proximal colon with incomplete colonoscopy. In addition, it allows other associated findings, both intra- and extracolonic, to be obtained and improves the diagnostic and therapeutic management of the patient.

Colonografía tomográfica computarizada: aplicaciones, ventajas e inconvenientes / Computed tomographic colonography: applications, advantages and disadvantages

Introducción: El estudio preoperatorio completo del colon es necesario para el tratamiento del cáncer colorrectal, debido a la frecuente asociación de la neoplasia primaria de colon con adenomas colónicos (28%) y/o carcinomas sincrónicos (5%) de colon. El objetivo de este trabajo es presentar nuestra serie de pacientes a los que se ha realizado colonografía tomográfica computarizada, sus indicaciones y sus resultados.Pacientes y métodos: Estudio descriptivo y prospectivo. Entre mayo de 2003 y agosto de 2004, se llevaron a cabo 50 colonografías tomográficas computarizadas en 50 pacientes con sospecha de cáncer colorrectal estenosante y colonoscopia preoperatoria incompleta. Resultados: Se realizaron 50 colonografías tomográficas computarizadas. Los hallazgos fueron los siguientes: 3 de ellas fueron normales (6%) y en las restantes se encontró un falso positivo para masa pelviana sospechosa de neoplasia (3,125%) y 2 falsos positivos (11,7%) para pólipos colónicos. El 50% de los hallazgos (n = 32) estuvo en relación con metástasis peritoneales y neoplasias de colon. Hubo 12 casos de complicación técnica (5 falta de limpieza del colon, 2 falta de distensión, 5 escasa insuflación de aire) y 2 del paciente (1 manifestación vegetativa [vómitos], 1 sangrado rectal). La tasa global de complicaciones fue del 27,4% (el 23,4% debidas a complicaciones técnicas y el 4% restante a los pacientes). No hubo mortalidad relacionada con el procedimiento. Conclusión: La colonografía tomográfica computarizada, por su seguridad, eficacia y buena tolerancia por parte del paciente, debe considerarse una técnica alternativa de estudio del colon proximal ante una neoplasia estenosante con colonoscopia incompleta. Además, permite obtener otros hallazgos asociados, intra y extracolónicos, así como mejorar el manejo diagnóstico y terapéutico del paciente

Introduction: Complete preoperative study of the colon is required in the management of colorectal cancer, due to the frequent association of primary colonic neoplasms with colonic adenomas (28%) and/or synchronous carcinomas (5%) of the colon. We present a series of patients who underwent computed tomographic colonography, the indications for this procedure, and the results. Patients and methods: We performed a descriptive prospective study. Between May 2003 and August 2004, 50 computed tomographic colonographies were performed in 50 patients with suspected stenosing colorectal cancer and incomplete conventional colonoscopy. Results: Fifty computed tomographic colonographies were performed. The findings were as follows: three were normal (6%), and in the remainder, one was a false positive for a suspected neoplastic pelvic mass (3.125%) and two were false positives (11.7%) for colonic polyps. Fifty percent of the findings (n = 32) were related to peritoneal metastases and colonic neoplasms. There were 12 technical complications [lack of cleaning of the colon (5), lack of distension (2), little air insufflation (5)]. Patient complications included vegetative manifestations in one (vomiting) and rectal bleeding in another. The overall complication rate was 27.4% (23.4% corresponded to technical complications and the remaining 4% were patient-related). There was no mortality related to the procedure. Conclusion: Because computed tomographic colonography is safe, effective and well tolerated by the patient, it should be considered as a technical alternative in the study of stenosing neoplasms of the proximal colon with incomplete colonoscopy. In addition, it allows other associated findings, both intra- and extracolonic, to be obtained and improves the diagnostic and therapeutic management of the patient