Retrospective analysis of etiological factors and clinical presentation of pancreatitis in patients of a tertiary care hospital, south India
Journal Title: Medpulse International Journal of Surgery - Year 2018, Vol 8, Issue 3
Abstract
Background: The annual incidence of acute pancreatitis ranges from 13 to 45/100,000 persons and of Chronic pancreatitis, ranges from 5 to 12/ 100,000. Alcoholic pancreatitis is one of the predominant causes of pancreatitis. Acute pancreatitis (AP) results in acute inflammation typically presenting as abdominal pain with elevated levels of pancreatic enzymes Methods: The study was conducted in the Department of General Surgery at tertiary care hospital between April 2017 and July 2017. The patients admitted with features of pancreatitis were examined clinically, basic investigation was done and diagnosis was confirmed with the investigations like serum amylase, USG abdomen and pelvis, CECT abdomen and pelvis. History of number of years of alcohol intake was elicited and also the severity of pancreatitis was assessed retrospectively. Results: Sixty-four patients had pancreatitis of which 61 were males. In 60 patients, alcohol was found to be the cause, while in one patient, gall stone was found to be cause, while three had no definite cause. All patients had abdominal pain, while 28 had pain radiating to back, 6 had vomiting. Acute pancreatitis was diagnosed in 30 patients. One patient had chronic pancreatitis with pseudo cyst with ascites and one had necrotizing pancreatitis. Conclusions: Recent surveys carried out around the world shows that alcohol remains the main factor associated with chronic pancreatitis. Alcohol consumption is the major reason for recent increases in incidence, the higher incidence in socially-deprived areas according to the study findings.
Authors and Affiliations
Sivabalan Palanidurai, Bharathidhasan Vijayaraman
Keywords
Related Articles
- EP ID EP471966
- DOI 10.26611/106831
- Views 143
- Downloads 0
Transurethral resection of prostate (TURP) without traction: Safety and feasibility study
Objective: To study the feasibility and safety of Transurethral Resection of Prostate (TURP) without traction on per urethral catheter, and to compare the outcome in patients of TURP with and without traction for treatme...
Per operative and histopathological diagnosis in abdominal conditions
Background: Ultrasound has got a sensitivity of 80 to 85 % for diagnosing pyogenic liver Abscess. The following features lead to the diagnosis- Double target sign-seen as wall enhancement with surrounding Hypo dense zone...
Role of negative pressure wound therapy (NPWT) in wound healing
Background: Negative pressure wound therapy is relatively newer technique which consist of exposing wounds to negative pressure for accelerating wound healing and better wound care. Aim: To study role and efficacy of vac...
A study of Acute Appendicitis patients presenting as non-traumatic acute abdomen at tertiary health care center
Background: Acute appendicitis is the leading cause of surgical acute abdomen worldwide, with a prevalence of approximately 7% of the population Aims and Objectives: To study Acute Appendicitis patients presenting as n...
A study of stapler hemorroidectomy in a tertiary health care centre
Background: Hemorrhoids are amongst the most frequent anorectal conditions ffecting approximately 4–36 % of the general population Aims and Objectives: Study in the post operative patients of stappler hemorroidectomy so...