Evaluation of the Outcome of Acute Pancreatitis by Ranson’s Criteria and Modified CT Severity Index
Journal Title: International Journal of Contemporary Medicine surgery and Radiology - Year 2017, Vol 2, Issue 2
Abstract
Introduction: Acute pancreatitis is a reversible pancreatic parenchymal injury associated with inflammation. Severe acute pancreatitis develops in about 25% of patients with acute pancreatitis. The present study was conducted to evaluate the outcome of acute pancreatitis by ranson’s criteria and modified ct severity index. Material and methods: The study enrolled 30 patients with clinical diagnosis of acute pancreatitis presenting in the department of surgery, Rajindra Hospital, Govt. Medical College, Patiala. Routine labarotory investigations in all subjects including hemogram, liver function test, renal function test, serum calcium levels, serum amylase, serum electrolytes, ABG, ultrasonography abdomen, chest x ray, contrast enhanced CT of whole abdomen were done. All the data was recorded in a tabulated form and analysed using SPSS software. Chi square test was applied as a test of significance and p value of less than 0.05 was considered significant. Results: In our study Ascites was the most common complication with 16 (34.4 %) patients, Pleural Effusion second most common with 9 (19.14%), 5 (10.6%) patients developed Pseudocyst, 4 (8.51%) patients infected pancreatic necrosis, 3 (6.38 %) patients each Paralytic ileus and ARDS, 2 (4.25 %) patients each developed Walled off necrosis, Renal failure, Multi organ failure and one (2.12%) patient developed Pancreatic fistula. Though most of the local complications were seen in patients with higher Ranson’s score but the values were statistically non-significant. Conclusion: We can conclude that both Ranson score and MCTSI plays a vital role in predicting patient’s outcome of acute pancreatitis. There was statically insignificant difference amongst the systemic complications when Ranson score and MCTSI were compared but the local complications showed statically significant difference with MCTSI score.
Authors and Affiliations
Prem Chand, Rommel Singh, DP Singh, Nisha Rani
Keywords
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