Clinico-Epidemiological Profile of Acute Pancreatitis with Special Reference to Pancreatic Necrosis –Experience from a Teaching Hospital, Kolkata
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 4
Abstract
Acute pancreatitis (AP) is a dreaded emergency in clinical practice. Though most of them undergo uneventful recovery in uncomplicated variety, various complications are encountered in the course of illness which may lead to prolonged hospital stay and mortality. Present study was undertaken to examine the clinical spectrum of acute pancreatitis and to look in particular for life threatening complications of this disease. A descriptive study with cross sectional design was planned in a tertiary care hospital of Kolkata city, in India. 50 consecutive patients of AP who were admitted to this hospital through one and half year period of time (January 2016-July 2017) were enrolled. The data was collected with the help of a pre designed, pre tested semi structure schedule. Secondary data was also obtained from the hospital treatment records. Parameters like correlation of acute pancreatitis with age, sex, Body Mass Index, alcohol and smoking were studied. Severity of the disease with its etiology and complications are noted. Study subjects presented at the hospitals with varieties of symptoms (Figure-1). Leucocytosis was common in severe disease and was an important prognostic parameter. The observed mortality rate for acute pancreatitis was 14% and morbidity rate was 38% during the study period. Majority of patients in the present study had addiction to alcohol (40%). The study found overall mortality rate as 14%. Early diagnosis and timely intervention was the key of management. Most patients required adequate hydration, maintenance of vitals and intensive monitoring. Present study was conducted with a limited number of patients but reemphasized the efficacy of conservative management in most patients.
Authors and Affiliations
Dr. Sk Sahid Aziz, Dr. Indradip Maity, Dr. Indranil Thakur, Dr. Arup Chakraborty, Dr. Kalidas Biswas
Keywords
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- EP ID EP370788
- DOI 10.9790/0853-1704074550.
- Views 67
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