Clinical Profile and Outcome of Patients with Severe Acute Pancreatitis

Patients with Acute Pancreatitis

  • Rishabh Sehgal Senior Resident, Department of Gastroentrology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
  • Inder Pal Singh Senior Resident, Department of Medicine, Government Medical College, Patiala, Punjab, India
  • Jyotisterna Mittal Consultant Dermatologist, Fortis Hospital, Amritsar, Punjab, India
Keywords: Acute pancreatitis, APACHE II, Severity scores

Abstract

Background: Acute pancreatitis (AP) is an acute inflammatory condition of the pancreas leading to pancreatic autodigestion. The present study was conducted to study the clinical profile and outcome of patients with severe acute pancreatitis. Subjects & Methods: The study was conducted on 40 patients of acute pancreatitis. Clinical profile including history, examination findings, etiology of pancreatitis, clinical severity (according to Modified Marshall Score, BISAP score, APACHE II, HAPS score, SOFA score) was recorded. Results: Severe Acute Pancreatitis (SAP) among patients. Majority of the patients i.e. 22 (55%) had alcohol consumption as etiological factor causing SAP followed by biliary 10 (25%) & idiopathic 5 (12.5%). Hypertriglyceridemia and drug-induced (herbal medication) pancreatitis was present in 1 (2.5%) patient each. Out of all 1 (2.5%), patients had a history of both alcohol consumption and the presence of gallstone as an etiological factor. 22 patients (55%) out of 40 patients only conservative management was used while 18(45%) patients underwent USG guided percutaneous drainage was done. Out of these 18 patients, 3(7.5%) patients required Laparoscopic Necrosectomy & 2(5%) patients required open necrosectomy in addition to ultrasound-guided PCD. Patients who improved had a mean BISAP SCORE of 2.15   0.54, Modified Marshall score of 3.65    1.44, APACHE II score of 9.77  4.45, SOFA score 5.54  2.49, RANSON’s score 3.85   1.80 and HAP score of 0.65   0.63. Conclusion: Most common   etiology of severe acute pancreatitis is alcohol followed by biliary etiology. Out of severity scores (BISAP, APACHE-II, SOFA, HAPS), only BISAP score 3 is predictive of poor outcome in patients with severe acute pancreatitis.

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Published
2020-10-06
How to Cite
Sehgal, R., Singh, I. P., & Mittal, J. (2020). Clinical Profile and Outcome of Patients with Severe Acute Pancreatitis. Asian Journal of Medical Research, 9(3), 8-11. Retrieved from http://aijournals.com/index.php/ajmr/article/view/1683