A Single Institute Study of Clinical Profile of Acute Pancreatitis

Abstract

Background : Acute pancreatitis remains a common disorder with devastating consequences (1).Although most episodes are mild and self-limiting, up to a one-fifth of patients develop a severe attack that can be fatal. Inspite of technical advances in medical and surgical field’s acute pancreatitis remains a major cause of morbidity and mortality (2, 3). So, this challenging subject is taken up for the present study in which we will be studying the clinical profile and management of acute pancreatitis in our hospital. Material and methods: This prospective study was conducted between September 2012 to September 2014 on patients admitted to S.B.K.S.M.I.R&C. Dhiraj Hospital Piparia Vadodara. 50 patients with episodes of acute pancreatitis were enrolled for the study. This was based on the U.K. guidelines for the management of acute pancreatitis(6). Results: This prospective study conducted at S.B.K.S.M.I.R&C. Dhiraj Hospital Piparia Vadodara, included 50 patients with acute pancreatitis, male and female (M: F =41:9). Conclusion: Acute pancreatitis is a common cause of acute abdomen in patients presenting to the emergency department. Alcohol being the most common cause of acute pancreatitis in this part of the country, it has a male preponderance and most commonly presents in the 4th decade of life. It is mainly a clinical diagnosis supplanted with biochemical and radiological findings. Ideally all cases should be stratified during the first 48 hours according to one of the scoring systems. Scoring systems help to identify patients, who are more likely to have a severe attack. The management is mainly conservative, with surgery reserved for patients with biliary pancreatitis and those developing complications secondary to acute disease In those developing necrosis there is a trend toward delaying necrosectomy Recent results support the use of minimally invasive procedures for the various complications associated with acute pancreatitis.