Evaluation of prognostic factors for acute pancreatitis—A retrospective study

Authors

  • Ashish Kumar Post Graduate, Department of General Surgery, MGM Medical College, KishanGanj, Bihar, India
  • Viruti Post Graduate, Department of General Surgery, MGM Medical College, KishanGanj, Bihar, India
  • Kumarkoustuv Assistant Professor, Department of General Surgery, MGM Medical College, KishanGanj, Bihar, India

Keywords:

Acute pancreatitis, mortality, morbidity

Abstract

Background: Acute pancreatitis is a common disease frequently caused by choledocholithiasis or excess alcohol ingestion. A three category classification of severity of acute pancreatitis was recently designed. The management of acute pancreatitis is frequently challenging, and multidisciplinary approach should be used for the management of the patient with acute pancreatitis. In this study we aim to evaluate early indicators that predict the mortality of Acute Pancreatitis. Materials & Methods: Total number of subjects in this study was 100 patients with clinical diagnosis of acute pancreatitis were treated at M.G.M. Medical College& L.S.K. Hospital and analyzed retrospectively during the period from October 2018 to August 2020. Results: 69.7% of patients who developed acute pancreatitis had a mild clinical disease without complication. The remainder had a moderate to severe illness with complications, prolonged hospital stay and this group as a whole had a mortality of (52.0%).The overall morality was15.0%. In this study 42.0% had addiction to alcohol. Biliary tract disease was present in 26.9% of cases. 30%had neither history of alcoholism nor biliary tract disease i.e. idiopathic group. Post ERCP acute pancreatitis was found in 2.0% of patients and 1% had a history of blunt trauma. The mortality rate for the idiopathic group (24.1%) was higher than that of alcoholic group (14.3%) or that of biliary tract disease (7.7%). Conclusion: Despite earlier recognition of severe attack of acute pancreatitis by reliable and sophisticated diagnostic techniques, appropriate care and supportive measures the morbidity and mortality rates have remained unacceptably high. To reduce this high mortality the major aim of management should be to anticipate and treat complications and systemic failure, which may develop.

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Published

2022-01-17

How to Cite

Ashish Kumar, Viruti, & Kumarkoustuv. (2022). Evaluation of prognostic factors for acute pancreatitis—A retrospective study. International Journal of Health and Clinical Research, 5(2), 788–793. Retrieved from https://ijhcr.com/index.php/ijhcr/article/view/4874