Publication:

Clinical study of various forms of acute pancreatitis in a tertiary care centre

Background Acute pancreatitis is an acute inflammatory process of the pancreas with variable involvement of regional tissues and remote organ system. Severe acute pancreatitis (SAP) is characterized by a short course of progressive multi organ dysfunction syndrome (MODS), early hypoxemia and increased incidence of necrosis, infection, and abdominal compartment syndrome (ACS). The average mortality rate in severe acute pancreatitis approaches 2-10%. This study was conducted to observe etiological factors, the clinical presentations and outcome of various form of acute pancreatitis.

Methods A hospital record based retrospective study on one hundred (100) cases of various forms of acute pancreatitis in the department of surgery at tertiary care teaching hospital of South Gujarat from January 2019 to December 2019 to know the clinical presentation of acute pancreatitis patients.

Results The maximum patients were belonged to age group between 31-40 years. There was a high incidence of alcoholic pancreatitis as compared to the gallstone pancreatitis. In both males and females, alcohol was the main etiological factor. Few patients needed ICU admission and oxygenation. Surgery was the modality for some patients. Out of total, 89 cases were recovered.

Conclusions Early identification of sever and complicated acute pancreatitis prompts the highly dependent intensive care and early intervention. Gall stones are considered most common etiological factor for acute pancreatitis in India but alcoholism crosses this limit suggests changing life style of our people. Outcome is favourable in expectant conservative management of any form of acute pancreatitis.