A Comparative Study of Clinical and Radiological Scoring Systems in the Early Prediction of Severity in Acute Pancreatitis
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 9
Abstract
Introduction : Acute pancreatitis is commonly caused by alcoholism and gallstone in our part of the world.The presentation varies from mild abdomen pain to septic shock with multi organ failure. Since there is no specific treatment for acute pancreatitis it is very important to predict its severity at the time of onset itself which may caution the medical professionals to give intensive care to the particular patient. Aims and objectives: Aim of our study is to compare two different scoring systems namely BISAP scoring and MCTSI scoring in acute pancreatitis and to conclude as to which one is cheaper and better in predicting the severity of the disease. Materials and methods: A prospective study done at Government Mohan Kumaramangalm Medical College Hospital for a time period of 1 year from November 2016 to november 2017 in 100 patients. Inclusion criteria- All patients diagnosed as acute pancreatitis and satisfying atleast 2 of the following three criteria 1.Epigastric pain with or without radiation to back 2.Serum amylase or lipase elevated atleast 3 times the nnormal 3.Characteristic finding of Acute Pancreatitis on abdominal CT. Exclusion criteria: Patients with pre existing CKD which may be associated with elevated BUN.. Conclusion:Individual response to pancreatic injury is highly variable. To classify patients with acute pancreatitis in to mild and severe groups BISAP is a reliable prognostic tool.It is easy to estimate also.All patients with BISAP scoring > 2 must undergo CT scan.
Authors and Affiliations
Dr. G. RAJ ASHOK M. S. , Dr. P. SUMATHI M. S.
Keywords
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- EP ID EP381915
- DOI 10.9790/0853-1709030105.
- Views 55
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