Assesment of the Severity of Acute Pancreatitis by Ranson’s Criteria and Modified CT Severity Index
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 6
Abstract
Introduction: Acute Pancreatitis is a common condition presenting as acute abdomen. Diagnosis of the condition is very important for proper management. Because of the variability and seeming unpredictability of acute pancreatitis, clinical scoring systems have been developed to predict the severity of acute pancreatitis Study aimed to assess the severity of acute pancreatitis in patients admitted in the department of surgery, Rajindra Hospital, Govt. Medical College, Patiala Material and Methods: Prospective study was done on 30 patients who were admitted with clinical diagnosis of acute pancreatitis in surgery department. Routine investigations, ultrasound and CECT abdomen were done. Ranson's criteria is measured within the first 48 hours of admission to the hospital. Patients were managed accordingly and followed up every 2 weeks on outpatient basis after discharge for upto 6 months. Results: The most common cause of pancreatitis was alcohol abuse. As per Ranson’s score, 11 out of 30 (36.6%) patients were diagnosed as having mild pancreatitis and 19 out of 30(63.3%) patients were diagnosed as having severe pancreatitis. Based on CECT findings, maximum number of patients 18 (60%) included in this study had moderate, 9(30%) had severe and 3(10%) patients had mild pancreatitis. MCTSI proved to be a significant investigation in identifying local complications. Though the presence of 3 or more Ranson’s criteria showed increased risk for complications, but the results did not reach statistical significance. Conclusions: Ranson’s and MCTSI plays an important role in predicting severity, morbidity and mortality of acute pancreatitis
Authors and Affiliations
Prem Chnad, Vivek Pahuja, Goldendeep Singh, Paramjit Singh, Vinod Kumar
Keywords
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