CLINICAL STUDY OF ACUTE PANCREATITIS WITH SPECIAL REFERENCE TO RANSONS PROGNOSTIC CRITERIA
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2016, Vol 3, Issue 11
Abstract
INTRODUCTION The pancreas is perhaps the most unforgiving organ in the human body and with its critical endocrine functions and its exocrine portion is a major source of extremely potent digestive enzymes Pancreatic diseases are very complex and acute pancreatitis is associated with high morbidity and mortality rates. Early diagnosis of pancreatitis, its severity evaluation and adequate intensive care are highly essential for the reduction in morbidity and mortality. There are various criteria to assess the severity of acute pancreatitis like Ranson’s criteria, The Acute Physiology and Chronic Health Evaluation II (APACHE II) score, Glasgow score etc. Ranson’s criteria is most frequently and accurate method to assess the severity and mortality associated with acute pancreatitis because of its relative easy tabulation and resulting scores well correlated with morbidity and mortality. OBJECTIVES To study the clinical presentation, complications and prognosis of patients with acute pancreatitis during the study period. To study the correlation of Ranson’s criteria in acute pancreatitis with prognosis of the patient. METHODS Prospective study conducted in period ranging from November 2012 to October 2014 who admitted in JSS Hospital, Mysore in the Department of surgery satisfying inclusion criteria were taken into study. RESULTS Patients with low Ranson’s score had shorter hospital duration and majority recovered by the time of discharge. High Ranson’s score predicts long hospital stay and increased morbidity and mortality. In our study it predicted long hospital study but could not predict significant morbidity or mortality. CONCLUSION Ranson’s criteria is the best prognostic tool in assessing the severity of the acute pancreatitis and also defines the need for early aggressive management in acute severe pancreatitis to reduce morbidity and mortality.
Authors and Affiliations
Sudhir S, Venkatesh B
Keywords
Related Articles
- EP ID EP232398
- DOI 10.18410/jebmh/2016/78
- Views 69
- Downloads 0
EVALUATION OF BREAST DISEASES BY ASSESSMENT WITH ADVANTAGES OF ULTRASONOGRAM OVER MAMMOGRAPHY
OBJECTIVES: 1. To assess the effectiveness of Triple assessment in evaluation of breast diseases. 2. To compare triple assessment (as a combined diagnostic modality) to each of its components. 3. To find advantages of ul...
MORPHOLOGICAL STUDY OF WORMIAN BONES IN CADAVER SKULLS
Wormian bones are accessory bones are not normally present in skull. They may or may not be associated with clinical abnormalities. In the present study a significant number of wormian bones were identified at the Depart...
A STUDY TO DETERMINE CO‐RELATION BETWEEN DISEASE BURDEN, NUMBER OF CLINICAL TRIALS DONE AND SUCCESS RATES FOR GERMANY AND INDIA.
The drugs we use to treat any condition – from an innocuous cough to a lifethreatening cancer – are the outcome of painstaking human clinical trials. These trials are the only way to credibly determine the safety and eff...
COMPARATIVE STUDY OF DEXMEDETOMIDINE AND MAGNESIUM SULPHATE AS AN ADJUVANT TO BUPIVACAINE IN SPINAL ANESTHESIA
spinal anaesthesia is a widely used simple anaesthethetic technique providing adequate analgesia and muscle relaxation. Search for an adjuvant providing satisfactory intra and post-operative analgesia is still continuing...
FOGGING RETINOSCOPY- A NOVEL METHOD TO PERFORM REFRACTION UNDER NORMAL CONDITIONS
This study of fogging retinoscopy in persons with refractory errors under normal conditions was conducted to evaluate an alternate simple way of getting an accurate assessment of the extent and amount of refractory error...