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
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- EP ID EP471966
- DOI 10.26611/106831
- Views 138
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