Demographic profiles, etiology and management of patients presenting with acute pancreatitis in AIMS, B. G. Nagara: a prospective study

Background: Acute pancreatitis remains a common disorder with devastating consequences. Although most episodes are mild and self-limiting, upto a fifth of patients develop a severe attack that can be fatal. Inspite of technical advances in medical and surgical fields acute pancreatitis remains a major cause of morbidity and mortality. So, we have studied the clinical profile and management of acute pancreatitis. Aims and objectives were to study the clinical presentation, complications and treatment modalities of acute pancreatitis that can be offered in our institution and the outcome.Methods: This prospective study was conducted between November 2018 to October 2020 on patients admitted to Department of Surgery, Adichunchanagiri Institute of Medical Sciences, B. G. Nagara, Mandya. 50 patients with acute pancreatitis were enrolled for the study.Results: Study included 50 patients with acute pancreatitis, 40 males and 10 females. The peak incidence was in the fourth decade with the median age of 35 years. The commonest etiology was alcohol consumption accounted for 72% of cases followed by gall stones (12%), idiopathic (8%) and others (8%).Conclusions: Acute pancreatitis was found to be in a younger age group. Serum amylase and lipase should be used for diagnosis wherever possible. Scoring systems help to identify patients who are more likely to have a severe attack and they should be referred to higher centers if adequate facilities are not available. Severe cases should be managed in well-equipped ICU. Timely intervention by endoscopist and surgeons are crucial to reduce morbidity and mortality.

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Gall Stones in Acute Pancreatitis - A Prospective Study

Journal of Evidence Based Medicine and Healthcare ◽

10.18410/jebmh/2020/553 ◽

2020 ◽

Vol 7 (46) ◽

pp. 2690-2693

Author(s):

Venkata Prakash Gandikota ◽

Tharaka Mourya Nutulapati ◽

Purushotham Gangapalli ◽

Ajay Babu Korchapati ◽

Sahithi Priya Boddukura ◽

...

Keyword(s):

Acute Pancreatitis ◽

Laparoscopic Cholecystectomy ◽

Prospective Study ◽

Hospital Stay ◽

Morbidity And Mortality ◽

Care Hospital ◽

Biliary Pancreatitis ◽

Acute Biliary Pancreatitis ◽

Gall Stones ◽

A Prospective Study

BACKGROUND Multiple practice guidelines from different American and European societies recommend index hospitalization cholecystectomy following an episode of gallstone pancreatitis. We wanted to analyse the outcome of patients presenting with acute pancreatitis in the presence of gall stones, analyse the sensitivity and specificity of liver function tests in early prediction of acute biliary pancreatitis and establish the advantages of early intervention in acute biliary pancreatitis. METHODS This is a prospective study conducted at a tertiary care hospital for a period of 12 months among 100 cases of acute pancreatitis who presented with abdominal pain with serum amylase level 3 times the normal limits in the absence of hypercalcemia or hyperlipidaemia. Presence of gallstones was confirmed on ultrasonography. Patients were subjected to preoperative ERCP and endoscopic sphincterotomy. Intraoperative and postoperative morbidity and mortality, and postoperative hospital stay were reported. RESULTS Gall stones were the cause of pancreatitis in 16 out of 100 cases (16 %). Male to female ratio was 1 : 3. Mean occurrence of age was 51.1 years. Preoperative ERCP was done 10 cases (63 %). Laparoscopic Cholecystectomy was performed in all the 16 cases (100 %) of which 12 cases (75 %) underwent Lap cholecystectomy in the same admission and 4 cases were subjected to interval cholecystectomy. 1 case was converted to open procedure. Post-operative complications include nausea and vomiting in 2 cases, chest infection in 2 and bile leak in 1. CONCLUSIONS Management of acute pancreatitis in the presence of gallstones requires prompt diagnosis and timely intervention. Laparoscopic cholecystectomy can be safely performed for mild to moderate acute biliary pancreatitis after clinical and biochemical resolution of the attack during the same admission with acceptable morbidity and mortality rates. This strategy will lead to reducing the recurring acute biliary pancreatitis, number of admissions and hospital stay. KEYWORDS Acute Pancreatitis, Gallstones, LFT, Lipase, Amylase, ERCP, Laparoscopic Cholecystectomy

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Haematological abnormalities in acute pancreatitis. A prospective study.

Postgraduate Medical Journal ◽

10.1136/pgmj.53.620.310 ◽

1977 ◽

Vol 53 (620) ◽

pp. 310-314 ◽

Cited By ~ 18

Author(s):

D. Murphy ◽

C. W. Imrie ◽

J. F. Davidson

Keyword(s):

Acute Pancreatitis ◽

Prospective Study ◽

A Prospective Study

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A PROSPECTIVE STUDY OF VARIOUS AVAILABLE DIAGNOSTIC AND TREATMENT MODALITIES AND INTRAOPERATIVE FINDINGS OF NON-TRAUMATIC ACUTE ABDOMINAL CASES IN A TERTIARY CARE HOSPITAL OF CENTRAL INDIA

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2016/1545 ◽

2016 ◽

Vol 5 (92) ◽

pp. 6829-6834

Author(s):

Rajiv Jain ◽

Vikas Gupta

Keyword(s):

Prospective Study ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Central India ◽

Treatment Modalities ◽

Care Hospital ◽

A Prospective Study

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Computed Tomography Evaluation of Acute Pancreatitis and Its Complications – A Prospective Study at a Tertiary Referral Center

Journal of Evidence Based Medicine and Healthcare ◽

10.18410/jebmh/2021/126 ◽

2021 ◽

Vol 8 (11) ◽

pp. 643-647

Author(s):

Rama Krishna Narra ◽

Manjeera Boddepalli ◽

Narasimhachary Munjuwanpalli ◽

Bhimeswarao Pasupaleti

Keyword(s):

Computed Tomography ◽

Acute Pancreatitis ◽

Prospective Study ◽

Pancreatic Necrosis ◽

Contrast Enhanced ◽

Necrotising Pancreatitis ◽

Enhanced Computed Tomography ◽

A Prospective Study ◽

Contrast Enhanced Computed Tomography ◽

Score Index

BACKGROUND Acute pancreatitis (AP) is described as acute inflammation of the pancreas with or without peripancreatic abnormalities. The present study describes the role of computed tomography in the evaluation and grading of acute pancreatitis. Acute pancreatitis is a dynamic disease having biphasic mortality peaks due to two overlapping phases, which include early and late due to increased obesity, ageing of population, alcohol abuse, increased gall stone incidence, the worldwide AP incidence is increasing. Most important causes of AP in developing countries such as India include increased alcohol consumption. Contrast enhanced computed tomography plays an important role in diagnosis of the disease and helps in determining the prognosis of the disease. Modified CT severity index scoring system is the most commonly used scoring system for assessment of the severity of the disease. METHODS The present study is a prospective study of patients presenting with signs and symptoms of acute pancreatitis referred to the Department of Radio Diagnosis at Katuri medical college. This study comprised of 50 patients with clinical suspicion / diagnosis of acute pancreatitis, raised pancreatic biochemical parameters like serum amylase and serum lipase. Contrast enhanced computed tomography was performed in these patients, findings reported, and the disease was classified using modified CT scoring index system (MCTSI). RESULTS The mean age of the patients in the present study was 42.3 ± 12.28 years. Most of the patients presented with abdominal epigastric pain, abdominal distension. Acute pancreatitis was divided into acute oedematous pancreatitis and necrotising pancreatitis, the former being common. Complications included, ascites, pleural effusions, splenic vein thrombosis, portal venous thrombosis, and haemorrhages. CONCLUSIONS Contrast enhanced CT is useful to differentiate between oedematous and necrotising types of pancreatitis. The MCTSI helps in better evaluation of pancreatic necrosis grading. The modified computed tomography score index correlation with the development of local and systemic complications in acute pancreatitis is well established. Ideally, conducting contrast enhanced computed tomography (CECT) after 48 - 72 hours of acute attack, increases the probability of identifying necrotising pancreatitis. CT in particular has an overall accuracy of about 87 % and sensitivity and specificity of 100 % in the recognition of pancreatic necrosis. KEYWORDS Computed Tomography, Acute Pancreatitis, Pseudocyst, Modified CT Score Index

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Su1314 A Prospective Study of Acute Pancreatitis Secondary to Eus Guided Biopsy Through the Pancreatic Parenchyma: Associated Risk Factors

Gastrointestinal Endoscopy ◽

10.1016/j.gie.2017.03.760 ◽

2017 ◽

Vol 85 (5) ◽

pp. AB331

Author(s):

Afonso L. Ribeiro ◽

Akash Goel

Keyword(s):

Risk Factors ◽

Acute Pancreatitis ◽

Prospective Study ◽

Pancreatic Parenchyma ◽

Guided Biopsy ◽

Associated Risk Factors ◽

A Prospective Study

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A PROSPECTIVE STUDY TO COMPARE THE EFFICACY OF THREE TREATMENT MODALITIES ON BENIGN BREAST DISEASE VIZ. EVENING PRIMROSE OIL (EPO), DANAZOLAND CENTCHROMAN

10.36106/ijsr/4200749 ◽

2021 ◽

pp. 22-24

Author(s):

Abhishek Chaudhary ◽

Prem Prakash ◽

Yasir Tajdar ◽

Nadeem Ahmad

Keyword(s):

Prospective Study ◽

Premenopausal Women ◽

Breast Disease ◽

Treatment Modalities ◽

Breast Pain ◽

Medical Sciences ◽

Evening Primrose ◽

Cancer Breast ◽

Breast Lumps ◽

A Prospective Study

Background: Breast pain among women, with or without lump is common complaint and a cause of signicant anxiety and fear of breast cancer. Breast feeding is additionally one of the reasons for non-cyclic pain, brocystic breast disease is otherwise called broadenosis. Material and Methods:This is prospective study in the Department of General Surgery, Indira Gandhi Institute of Medical Sciences, Patna, Bihar. Conclusion: Centchroman is a selective anti estrogen effective in the treatment of brocystic disease. Centchroman is effective in reducing the sizes of breast lumps, providing relief from mastalgia and in curing cyclical and noncyclical breast pain in the premenopausal women.

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