Assessment of predicting factors for acute pancreatitis
Journal Title: Medpulse International Journal of Surgery - Year 2019, Vol 9, Issue 2
Abstract
Background: The incidence of acute pancreatitis varies in different centres and depends upon etiologic factors. Incidence of gallstone pancreatitis is more in this part of the world and males are affected more than females. This present study was undertaken to examine the clinical findings of acute pancreatitis and to look in particular at that group of patients who suffer life-threatening complications. Methods: 50 patients were admitted at Department of Surgery, DMCH, Laheriasarai, Darbhanga. During the period April 2016 to Feb 2017. This study comprised of 38 males and 12 females. The youngest patient was 22 years old and the eldest patient was 65 years old. The average age for total study group was 39.5 years. Postoperative cases of acute pancreatitis were not included within this study. Results: The mortality rate for acute pancreatitis was 12.0% Age, hypotension, tachycardia, fever, abdominal lump and abnormal lung findings correlated with increased morbidity and mortality. Leucocytosis was a common finding in patients with severe disease and was one of the most important parameters in prognosis. The other important abnormalities found are alteration in serum A.S.T. (SGOT) Amylase, Lipase L.D.H. L.D.H. in particular was found to be the most useful single marker of severe disease. High bilirubin was more pronounced in patients with gallstone etiology. Conclusion: The proper management of severe acute pancreatitis required understanding of its natural history and lots of patience. Laboratory markers may be useful to better quantify the severity of disease in patients with acute pancreatitis.
Authors and Affiliations
MD Wahhaj, V S Prasad, Mustahsan Ahmad Hashmi
Keywords
Related Articles
- EP ID EP471636
- DOI 10.26611/106922
- Views 148
- Downloads 0
A study of usefulness of fistulogram for the anorectal fistulectomy at tertiary health care centre
Background: Perianal fistula is thought to develop secondary to perianal abscess. The disease has a rather high rate of recurrence, Recurrence is usually due to secondary extensions which are missed during the operation...
Comparative study between Phenytoin and Sucralfate dressing in diabetic foot ulcers
Background: Successful diagnosis and treatment of patients with diabetic foot ulcers involves a holistic approach that includes optimal diabetes control, effective local wound care, infection control, pressure relieving...
Comparison of UWIN score vs international prostatic symptom score in patients with LUTS
Benign prostatic hyperplasia (BPH), one of the most common diseases of aging men. The AUA Symptom Index or the identical IPSS is recommended for symptom assessment in each patient presenting with BPH. To decrease the bur...
Study of risk factors and clinical manifestations of peptic perforations and peritonitis
Background: Peptic ulcer perforation and secondary peritonitis forms one of the commonest and most important causes of acute abdominal emergency, which the general surgeon has to deal with. Knowledge of risk factors and...
A comparative study of primary closure versus delayed primary wound closure in the patients with complicated appendicitis
Background: Appendicitis is a medical emergency that almost always requires prompt surgery to remove the appendix. Delayed primary wound closure (DPC) is a procedure which aims at reducing the rate of SSI by suturing a w...