ASSESSMENT OF CLINICAL AND BIOCHEMICAL PARAMETERS OF ACUTE PANCREATITIS- A CROSS SECTIONAL STUDY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 13
Abstract
BACKGROUND Acute pancreatitis is a common disease with wide clinical variation and its incidence is increasing. The average mortality rate in severe acute pancreatitis approaches 2–10 %. Severe acute pancreatitis (SAP) develops in about 25% of patients with acute pancreatitis. According to the severity, acute pancreatitis is divided into mild acute pancreatitis (absence of organ failure and local or systemic complications), moderately severe acute pancreatitis (no organ failure or transient organ failure less than 48 hours with or without local complications) and severe acute pancreatitis (persistent organ failure of more than 48 hours that may involve one or multiple organs). The present study was conducted to assess the clinical presentation of acute pancreatitis and thereby assess the diagnosis as well. METHODS The present study was a cross sectional hospital-based study, carried out among 50 indoor cases of acute pancreatitis admitted under department of general medicine, in a tertiary healthcare teaching institute in Maharashtra, during the period February 2018 to April 2018. RESULTS Almost all patients (96%) with PP presented with abdominal pain and lump in abdomen (92%). 62% had complaints of fever, 46% presented with nausea and vomiting. 40% cases complained of weight loss. CONCLUSIONS Early assessment of severity and intensive care management of acute pancreatitis is of paramount importance. Lab markers especially high values of lipase and other markers could be important prognostic markers for predicting morbidity and mortality in acute pancreatitis.
Authors and Affiliations
Patel D. M. , Pavan D. Patel, Shruti Nair
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