Skip to main content
PMC home page
British Medical Journal logoLink to British Medical Journal
. 1979 Feb 24;1(6162):515–517. doi: 10.1136/bmj.1.6162.515

Prediction of gall-stone pancreatitis by computer.

D F Graham, F J Wyllie
PMCID: PMC1598106  PMID: 376032

Abstract

The clinical features at presentation of 53 patients admitted with primary acute pancreatitis due to gall stones were compared with those of 31 patients in whom the disease was due to other causes. Between these two groups 10 significant differences existed. By listing the frequency of symptoms and signs for each group a computer data base was prepared and incorporated into a program used in the differential diagnosis of acute abdominal pain. A program written to predict the presence of gall stones in patients with acute pancreatitis was accurate in 92% of the patients studied. A predictive index devised from the presence of three of the significantly differing clinical features correctly identified 82% of patients with gall-stone pancreatitis. Predicting the presence of gall stones on admission by analysing the presenting symptoms and signs with a computer had an accuracy comparable to that of ultrasonography or radiology and may be of value in the management of patients with acute pancreatitis.

Full text

PDF
515

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Acosta J. M., Ledesma C. L. Gallstone migration as a cause of acute pancreatitis. N Engl J Med. 1974 Feb 28;290(9):484–487. doi: 10.1056/NEJM197402282900904. [DOI] [PubMed] [Google Scholar]
  2. Acosta J. M., Rossi R., Galli O. M., Pellegrini C. A., Skinner D. B. Early surgery for acute gallstone pancreatitis: evaluation of a systematic approach. Surgery. 1978 Apr;83(4):367–370. [PubMed] [Google Scholar]
  3. De Dombal F. T. Surgical diagnosis assisted by a computer. Proc R Soc Lond B Biol Sci. 1973 Dec 21;184(1077):433–440. doi: 10.1098/rspb.1973.0062. [DOI] [PubMed] [Google Scholar]
  4. Faber R. G., Ibrahim S. Z., Thomas D. M., Beynon G. P., Le Quesne L. P. Gallstone disease presenting as septicaemic shock. Br J Surg. 1978 Feb;65(2):101–105. doi: 10.1002/bjs.1800650209. [DOI] [PubMed] [Google Scholar]
  5. Freund H., Pfeffermann R., Durst A. L., Rabinovici N. Gallstone pancreatitis. Exploration of the biliary system in acute and recurrent pancreatitis. Arch Surg. 1976 Oct;111(10):1106–1107. doi: 10.1001/archsurg.1976.01360280064010. [DOI] [PubMed] [Google Scholar]
  6. Gagic N., Frey C. F., Gaines R. Acute cholecystitis. Surg Gynecol Obstet. 1975 Jun;140(6):868–874. [PubMed] [Google Scholar]
  7. Hermann R. E., Hertzer N. R. Time of biliary surgery after acute pancreatitis due to biliary disease. Arch Surg. 1970 Jan;100(1):71–75. doi: 10.1001/archsurg.1970.01340190073016. [DOI] [PubMed] [Google Scholar]
  8. Imrie C. W., Benjamin I. S., Ferguson J. C., McKay A. J., Mackenzie I., O'Neill J., Blumgart L. H. A single-centre double-blind trial of Trasylol therapy in primary acute pancreatitis. Br J Surg. 1978 May;65(5):337–341. doi: 10.1002/bjs.1800650514. [DOI] [PubMed] [Google Scholar]
  9. Imrie C. W. Observations on acute pancreatitis. Br J Surg. 1974 Jul;61(7):539–544. doi: 10.1002/bjs.1800610710. [DOI] [PubMed] [Google Scholar]
  10. Imrie C. W., Whyte A. S. A prospective study of acute pancreatitis. Br J Surg. 1975 Jun;62(6):490–494. doi: 10.1002/bjs.1800620615. [DOI] [PubMed] [Google Scholar]
  11. Raine P. A., Gunn A. A. Acute cholecystitis. Br J Surg. 1975 Sep;62(9):697–700. doi: 10.1002/bjs.1800620907. [DOI] [PubMed] [Google Scholar]
  12. Ranson J. H., Rifkind K. M., Turner J. W. Prognostic signs and nonoperative peritoneal lavage in acute pancreatitis. Surg Gynecol Obstet. 1976 Aug;143(2):209–219. [PubMed] [Google Scholar]
  13. Wilson D. H., Wilson P. D., Walmsley R. G., Horrocks J. C., De Dombal F. T. Diagnosis of acute abdominal pain in the accident and emergency department. Br J Surg. 1977 Apr;64(4):250–254. doi: 10.1002/bjs.1800640407. [DOI] [PubMed] [Google Scholar]
  14. de Dombal F. T., Leaper D. J., Staniland J. R., McCann A. P., Horrocks J. C. Computer-aided diagnosis of acute abdominal pain. Br Med J. 1972 Apr 1;2(5804):9–13. doi: 10.1136/bmj.2.5804.9. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. van der Linden W., Sunzel H. Early versus delayed operation for acute cholecystitis. A controlled clinical trial. Am J Surg. 1970 Jul;120(1):7–13. doi: 10.1016/s0002-9610(70)80133-7. [DOI] [PubMed] [Google Scholar]

Articles from British Medical Journal are provided here courtesy of BMJ Publishing Group

RESOURCES