Assessment of Acute biliary pancreatitis: a prospective observational hospital-based study

Abstract

Background: Pancreatitis is quite common problem, it may present either as abdominal emergency with fulminant course or as an indolent process leading to long-term medical as well as surgical complications often leading to poor prognosis if not intervened timely. Methods:This was a prospective hospital based observational study conducted at  Department of General Surgery, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.from November 2015 to July 2016. All cases of ABP admitted over a period of one year were included in the study. The clinical presentation, severity and course of the disease, imaging studies, duration of ICU and hospital stay and timing of ERCP and cholecystectomy were studied. Results: A total of 100 cases were included in the study. Average age was 53.45 years. Pain abdomen was the most common symptom at presentation. About 88% patients had mild to moderate disease while the rest had severe disease. The mean duration of intensive care unit stay was 8-10 days. ERCP was done in 12 cases. Cholecystectomy during the same admission was done in 34 cases. Conclusion: Early intervention definitely reduces morbidity, mortality and recurrent admissions in cases of acute biliary pancreatitis. Same admission laparoscopic cholecystectomy is preferable in mild ABP. All cases of severe ABP must undergo early ERCP irrespective of biliary obstruction.

Keywords: pneumonia, hyponatremia, sodium level, childrens