Ranson criteria for the diagnosis of acute pancreatitis, useful or in disuse?

Hernando Enrique Thorné Vélez 1, *, Luis Eduardo Pérez Rojas 2, Ana María Thorné Vélez 3, Natalia Peñaloza Barrios 4, Jesús David Ramos Carvajal 4, Jose Dario Ortega Gomez 5, Paula Andrea Arenas Ruiz 5, Eduard Orlando Vargas Plazas 6 Bryan Sarmiento Herazo 7 and Zaira Molina Artunduaga 8

1 General Surgery Resident, Universidad Libre.
2 General Physician, Universidad Del Rosario.
3 General Physician, Universidad Del Sinù Elias Bechara Zainum.
4 General Physician, Universidad Del Sinú, Cartagena.
5 General Physician, Universidad Del Sinú.
6 General Physician, Universidad Cooperativa de Colombia sede Pasto.
7 General Physician, Fundación Universitaria San Martín, Colombia.
8 General Physician, Universidad Cooperativa de Colombia, sede Villavicencio.
 
Review Article
World Journal of Advanced Research and Reviews, 2022, 14(02), 240–245
Article DOI: 10.30574/wjarr.2022.14.2.0365
 
Publication history: 
Received on 21 March 2022; revised on 12 May 2022; accepted on 14 May 2022
 
Abstract: 
Acute pancreatitis is one of the high-mortality gastrointestinal disorders that requires hospitalization, in this pathology there are various degrees of severity, and it is important to define and stratify them to identify dangerous patients who require aggressive treatment on admission, to identify patients worthy of referral for specialized care and to assign these patients to stratification into subgroups with persistent organ failure and local or systemic complications, the use of scales and criteria is implemented to determine the degree of severity of this and the possible management, among them we find the Ranson criteria, which contribute to the determination of severity, conduct to follow and possible complications, which is usually very useful for the patient's prognosis, but although it is true, the Ranson criteria are simple, easy to remember and very available in any laboratory to carry out ar tests, but they are also limited since they present greater specificity after the first 48 hours of the patient's admission and, in addition, they can be inconclusive because they vary according to the presence or not of a biliary pathology, thus increasing the parameters to be evaluated.
 
Keywords: 
Ranson Criteria; Pancreatitis; Acute Pancreatitis; Criteria for Pancreatitis
 
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