Management of Acute Pancreatitis by Using Modified Computed Tomography Severity Index
Journal Title: International Journal of Contemporary Medicine surgery and Radiology - Year 2018, Vol 3, Issue 1
Abstract
Introduction: Acute Pancreatitis is an acute inflammatory process of the pancreas and significant cause of morbidity and mortality. Treatment of patients with acute pancreatitis is based on the initial assessment of disease severity. The aim of this present study is role of modified computed tomography severity index in assessment of acute pancreatitis and its correlation with clinical outcome. Material and methods: This was a prospective study; a total of 53 patients with acute pancreatitis were included. The severity of pancreatitis was scored using modified CT severity index. All the data were analyzed by statistical software SPSS 20.0. Results: Among 53 patients, 39 (73.6%) were males and 14(26.4%) were females. The mean age group was 44 years. The most common cause of pancreatitis in the study is chronic alcohol abuse in 32 patients (60.3%). Most of the patients were seen to fall in the grade 4 (28.3%) and minimum patients (11.3%) were seen in grade 2 category. Pseudocyst was seen in 17 patients (32.0%) and abscess was seen in 8 cases in our study (15.0%). Surgical treatment was done for 2 patients and radiological intervention was needed in 18 patients (33.9%). 2 were died due to severe acute pancreatitis. Conclusion: The Modified CT Severity Index is a simpler scoring tool, which can help in identifying patients with acute pancreatitis that may develop complications and thus help in their management.
Authors and Affiliations
Bhagyaraj Ambaraya Jeevangi, Ravi Kumar Yeli, Rajaneesh Borugadda, Nagababu Pyadala
Keywords
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