A Retrospective Observational Assessment Study of Clinical Profile of Patients with Acute Pancreatitis
Authors/Creators
- 1. Senior Resident, Department of General Surgery, Narayan Medical College and Hospital, Sasaram, Bihar, India
- 2. Professor, Department of General Surgery, Narayan Medical College and Hospital, Sasaram, Bihar, India
Description
Aim: The aim of the present study was to assess the clinical profile of acute pancreatitis, the etiology and complications of acute pancreatitis received treatment in the Department of Surgery, Material & Methods: It was a retrospective observational type study with study sample size of 100 cases. The study was conducted with objective of age, sex distribution, etiology, clinical presentation& complications of Acute Pancreatitis. All patients presenting to Department of Surgery, within the duration of 10 months meeting inclusion criteria for acute pancreatitis. Results: Regarding gender distribution, we observed that out of total 100 subjects, 85 were male and remaining 15 were females (85% vs. 15%). We noted a male predominance in our study. Regarding age incidence, we observed that median age group in our study was 37.5 years among all 100 subjects. Underlying cause of the clinical condition was noted as alcoholic in nature by majority (80%) of the study subjects. In 15 patients (15%) reason for the pancreatitis could not be ascertained despite extensive evaluation. Abdominal pain (100%) and vomiting (88%) were the most consistent symptoms in our study. Among the 100 patients studied 85 had mild pancreatitis, 4 had severe pancreatitis and 11 patients had acute on chronic pancreatitis. One patient of acute necrotizing pancreatitis required intensive Care Unit (ICU) admission and developed organ failure indicating adverse outcome. Common complications of the clinical condition were noted as pleural effusion (n=21, 21%), followed by ascites (n=16, 16%) and acute fluid collection (n=7, 7%). Morality was seen among two patients (3%). Conclusion: Acute pancreatitis is one of the leading causes of increase in morbidity and mortality to society. Alcohol and gallstones were the most common etiological factors of acute pancreatitis. Clinical assessment along with radiological findings correlated well with the morbidity and mortality. Our study identifies alcoholism as one of the most important etiological factors.
Abstract (English)
Aim: The aim of the present study was to assess the clinical profile of acute pancreatitis, the etiology and complications of acute pancreatitis received treatment in the Department of Surgery, Material & Methods: It was a retrospective observational type study with study sample size of 100 cases. The study was conducted with objective of age, sex distribution, etiology, clinical presentation& complications of Acute Pancreatitis. All patients presenting to Department of Surgery, within the duration of 10 months meeting inclusion criteria for acute pancreatitis. Results: Regarding gender distribution, we observed that out of total 100 subjects, 85 were male and remaining 15 were females (85% vs. 15%). We noted a male predominance in our study. Regarding age incidence, we observed that median age group in our study was 37.5 years among all 100 subjects. Underlying cause of the clinical condition was noted as alcoholic in nature by majority (80%) of the study subjects. In 15 patients (15%) reason for the pancreatitis could not be ascertained despite extensive evaluation. Abdominal pain (100%) and vomiting (88%) were the most consistent symptoms in our study. Among the 100 patients studied 85 had mild pancreatitis, 4 had severe pancreatitis and 11 patients had acute on chronic pancreatitis. One patient of acute necrotizing pancreatitis required intensive Care Unit (ICU) admission and developed organ failure indicating adverse outcome. Common complications of the clinical condition were noted as pleural effusion (n=21, 21%), followed by ascites (n=16, 16%) and acute fluid collection (n=7, 7%). Morality was seen among two patients (3%). Conclusion: Acute pancreatitis is one of the leading causes of increase in morbidity and mortality to society. Alcohol and gallstones were the most common etiological factors of acute pancreatitis. Clinical assessment along with radiological findings correlated well with the morbidity and mortality. Our study identifies alcoholism as one of the most important etiological factors.
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IJTPR,Vol13,Issue9,Article44.pdf
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Additional details
Dates
- Accepted
-
2023-07-26
Software
References
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